J Korean Soc Vasc Surg.  2007 May;23(1):51-56.

The Indications and Outcomes of Major Venous Reconstructions

• Roh YN
• Lee KB
• Kim DI
• Kim HK
• Huh S
• Kim YW

Abstract

PURPOSE: We wanted to review our indications and the results of venous reconstructions. METHOD: We retrospectively investigated the medical records of 64 patients who underwent vein reconstructions between Jan 1992 and Oct 2006 at 2 university hospitals. The clinical outcomes of venous reconstruction were analyzed according to the sites of venous reconstruction, the indications and the venous patency. RESULT: The indications for venous reconstructions were traumatic vein injury (58%), malignant tumor (28%), Nut-cracker syndrome (9%) and others (5%). The venous reconstruction procedure included graft interposition (48%, 24 vein grafts and 7 prosthetic grafts), lateral venorrhaphy (19%), end-to-end anastomosis (16%), patch angioplasty (6%), vein transposition (9%) and 1 case (2%) of vein bypass. 10 forearm replantations were included among the venous reconstructions. There were 4 mortalities and 4 limb amputations after venous reconstructions. According to the method of venous reconstructions, early venous thrombosis occurred in 3.6%, 7.1% and 37.5% of the patients after venorrhaphy, reconstruction with autologous vein and prosthetic graft, respectively.
CONCLUSION
After venous reconstructions for various indications, we found that the clinical significance was related with an early venous patency, but not with the late patency.

Keyword

Vein; Trauma; Replantation; Reconstruction

MeSH Terms

Amputation
Angioplasty
Extremities
Forearm
Hospitals, University
Humans
Medical Records
Mortality
Replantation
Retrospective Studies
Transplants
Veins
Venous Thrombosis