Page 16 - Vasoclick emagazine Issue2

Contemporary Use of the Femoropopliteal Vein in Vascular Reconstructions 15

Surgery

Contemporary Use of the Femoropopliteal Vein in Vascular Reconstructions

Endorsed by: Dr. Amish P. Mhatre, Consultant Vascular and Endovascular Surgery,
Fortis Hospital, Mumbai

Introduction
Greater saphenous vein and/or prosthetic conduits are the first choice for open vascular bypass;

however, in a certain cohort of patients, they are either not available or not suitable. 1

Femoropopliteal vein (FPV) is an alternative for open vascular bypass but few open procedures are
performed as endovascular treatment is preferred in current practices. 1

In this study, Aru et al. reported on the contemporary use of FPV in a tertiary vascular institution to

explore it as a potential conduit. 1

Methods:

Patients: All patients who underwent FPV laboratory values, medical comorbidities

harvest between 2005 and 2019 were identified. 1 2) Indication for use of FPV
3) Complications specific to vein harvest

Criteria for selection: The patient selection was 4) Operative details
as per the Current Procedural Terminology (CPT) 5) Postoperative course

code 35572. 1 6) Outcomes

CPT: CPT is a coding system and set of Results:
descriptions and guidelines for reporting medical A total of 90 patients were identified who had

procedures and services performed by undergone FPV harvest for creating 123 conduits
healthcare providers, physicians as well as at 104 FPV harvest sites. The patient population

non-physicians, and facilities. It provides was divided into four cohorts depending on the
1
effective and reliable communication between use of FPV harvest (Table 1) :
these service providers, third parties, and
patients. The five-digit numeric CPT code is

Category I used to identify a particular procedure,
in this case, the harvest of FPV for vascular

reconstruction. 2,3

Parameters recorded :
1
1) Patient demographics: sex, age, baseline