TY - JOUR
T1 - Results of venous interposition grafts in arterial injuries
AU - Mitchell, F. L.
AU - Thal, E. R.
PY - 1990/3
Y1 - 1990/3
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 nongraft-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 nongraft-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.
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U2 - 10.1097/00005373-199003000-00014
DO - 10.1097/00005373-199003000-00014
M3 - Article
C2 - 2313754
AN - SCOPUS:0025220470
SN - 0022-5282
VL - 30
SP - 336
EP - 339
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 3
ER -