Page 17 - Vasoclick emagazine Issue2

Vasoclick, Edition 2 16

Table 1: Patient cohorts that underwent FPV harvest 1

Number of Number of Number of FPV
Patient Cohort
patients conduits harvest sites

1) Aorto-iliac reconstruction 38 66 51

a) Infected graft 19

b) Occlusive disease 8

c) Aortitis 5

d) Mycotic aneurysm 5

e) Malignancy 1

2) Peripheral artery revascularization 26 30 27

a) Ilio-femoral reconstruction 15

b) Femoropopliteal reconstruction 4

c) Upper extremity/cerebrovascular reconstruction 6

d) Coronary bypass 1

3) Mesenteric revascularization 20 23 20

a) Acute or acute on chronic ischemia 12

b) Chronic ischemia 7

c) Aneurysm 1

4) Dialysis access 6 6 6

At three years, the primary graft patency for these four cohorts was :
1
1) Aorto-iliac reconstruction: 83% ± 4%
2) Peripheral artery revascularization: 83% ± 6%

3) Mesenteric revascularization: 100%

4) Dialysis access: 23% ± 19% (P<0.001)

There was a high prevalence of co-morbid conditions like a cerebrovascular accident, coronary

artery disease, hypertension, COPD, chronic kidney disease, end-stage renal disease, smoking, and

malnutrition in all groups. The incidence was highest for patients who underwent aorto-iliac
reconstruction (Table 2). 1

The authors also noted complications arising with graft harvest that included compartment

syndrome, graft-associated hemorrhage, surgical site infection, and lymphatic complications
(Table 3). 1