Results of venous interposition grafts in arterial injuries

F. L. Mitchell, E. R. Thal

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Controversy continues regarding the use of PTFE versus autogenous vein grafts in the repair of arterial injuries. This study was designed to evaluate the results of a large series of autogenous interposition vein grafts used for arterial trauma. The charts of 191 patients with 192 arterial injuries repaired with an autogenous vein graft were reviewed. Specific areas of interest included graft-related complications such as thrombosis, infection, rupture, incidence of amputation, and mortality. Seventy-six per cent of the injuries were due to penetrating trauma. Forty-five per cent involved the upper and 51% the lower extremity. Shock (B.P. <80) occurred in one third of the patients. There were 23 (12%) graft-related complications. Sixteen (8.3%) of the grafts thrombosed. Three of these patients required an amputation and one a nephrectomy. Seven grafts (3.6%) became infected; all seven eventually ruptured. Five of these patients required an amputation. Eighteen patients (9.4%) required amputation; however, only eight (4.2%) of these cases were graft related. One patient died from non-graft-related multiple organ failure, establishing a mortality rate of 0.5%. Based on the data reported in this series, it is concluded that autogenous grafts continue to provide a safe, readily accessible, and effective means by which selected arterial injuries can be repaired.

Original languageEnglish (US)
Pages (from-to)336-339
Number of pages4
JournalJournal of Trauma
Volume30
Issue number3
StatePublished - 1990

Fingerprint

Transplants
Wounds and Injuries
Amputation
Veins
Thrombosis
Multiple Organ Failure
Mortality
Polytetrafluoroethylene
Nephrectomy
Rupture
Lower Extremity
Shock
Incidence
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Mitchell, F. L., & Thal, E. R. (1990). Results of venous interposition grafts in arterial injuries. Journal of Trauma, 30(3), 336-339.

Results of venous interposition grafts in arterial injuries. / Mitchell, F. L.; Thal, E. R.

In: Journal of Trauma, Vol. 30, No. 3, 1990, p. 336-339.

Research output: Contribution to journalArticle

Mitchell, FL & Thal, ER 1990, 'Results of venous interposition grafts in arterial injuries', Journal of Trauma, vol. 30, no. 3, pp. 336-339.
Mitchell, F. L. ; Thal, E. R. / Results of venous interposition grafts in arterial injuries. In: Journal of Trauma. 1990 ; Vol. 30, No. 3. pp. 336-339.
@article{bb7c824893b9432b906b05d02cdbd303,
title = "Results of venous interposition grafts in arterial injuries",
abstract = "Controversy continues regarding the use of PTFE versus autogenous vein grafts in the repair of arterial injuries. This study was designed to evaluate the results of a large series of autogenous interposition vein grafts used for arterial trauma. The charts of 191 patients with 192 arterial injuries repaired with an autogenous vein graft were reviewed. Specific areas of interest included graft-related complications such as thrombosis, infection, rupture, incidence of amputation, and mortality. Seventy-six per cent of the injuries were due to penetrating trauma. Forty-five per cent involved the upper and 51{\%} the lower extremity. Shock (B.P. <80) occurred in one third of the patients. There were 23 (12{\%}) graft-related complications. Sixteen (8.3{\%}) of the grafts thrombosed. Three of these patients required an amputation and one a nephrectomy. Seven grafts (3.6{\%}) became infected; all seven eventually ruptured. Five of these patients required an amputation. Eighteen patients (9.4{\%}) required amputation; however, only eight (4.2{\%}) of these cases were graft related. One patient died from non-graft-related multiple organ failure, establishing a mortality rate of 0.5{\%}. Based on the data reported in this series, it is concluded that autogenous grafts continue to provide a safe, readily accessible, and effective means by which selected arterial injuries can be repaired.",
author = "Mitchell, {F. L.} and Thal, {E. R.}",
year = "1990",
language = "English (US)",
volume = "30",
pages = "336--339",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Results of venous interposition grafts in arterial injuries

AU - Mitchell, F. L.

AU - Thal, E. R.

PY - 1990

Y1 - 1990

N2 - Controversy continues regarding the use of PTFE versus autogenous vein grafts in the repair of arterial injuries. This study was designed to evaluate the results of a large series of autogenous interposition vein grafts used for arterial trauma. The charts of 191 patients with 192 arterial injuries repaired with an autogenous vein graft were reviewed. Specific areas of interest included graft-related complications such as thrombosis, infection, rupture, incidence of amputation, and mortality. Seventy-six per cent of the injuries were due to penetrating trauma. Forty-five per cent involved the upper and 51% the lower extremity. Shock (B.P. <80) occurred in one third of the patients. There were 23 (12%) graft-related complications. Sixteen (8.3%) of the grafts thrombosed. Three of these patients required an amputation and one a nephrectomy. Seven grafts (3.6%) became infected; all seven eventually ruptured. Five of these patients required an amputation. Eighteen patients (9.4%) required amputation; however, only eight (4.2%) of these cases were graft related. One patient died from non-graft-related multiple organ failure, establishing a mortality rate of 0.5%. Based on the data reported in this series, it is concluded that autogenous grafts continue to provide a safe, readily accessible, and effective means by which selected arterial injuries can be repaired.

AB - Controversy continues regarding the use of PTFE versus autogenous vein grafts in the repair of arterial injuries. This study was designed to evaluate the results of a large series of autogenous interposition vein grafts used for arterial trauma. The charts of 191 patients with 192 arterial injuries repaired with an autogenous vein graft were reviewed. Specific areas of interest included graft-related complications such as thrombosis, infection, rupture, incidence of amputation, and mortality. Seventy-six per cent of the injuries were due to penetrating trauma. Forty-five per cent involved the upper and 51% the lower extremity. Shock (B.P. <80) occurred in one third of the patients. There were 23 (12%) graft-related complications. Sixteen (8.3%) of the grafts thrombosed. Three of these patients required an amputation and one a nephrectomy. Seven grafts (3.6%) became infected; all seven eventually ruptured. Five of these patients required an amputation. Eighteen patients (9.4%) required amputation; however, only eight (4.2%) of these cases were graft related. One patient died from non-graft-related multiple organ failure, establishing a mortality rate of 0.5%. Based on the data reported in this series, it is concluded that autogenous grafts continue to provide a safe, readily accessible, and effective means by which selected arterial injuries can be repaired.

UR - http://www.scopus.com/inward/record.url?scp=0025220470&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025220470&partnerID=8YFLogxK

M3 - Article

VL - 30

SP - 336

EP - 339

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 3

ER -