Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jul-Sep;10(3):140-142.
doi: 10.4103/IJCIIS.IJCIIS_60_19. Epub 2020 Sep 22.

Successful long-term limb salvage using cephalic and small saphenous vein grafts: A case report

Ömer Faruk Çiçek  1 , Ersin Kadiroğullari  2 , Eren Günertem  2 , Adem Diken  2 , Adnan Yalçınkaya  2 , Mustafa Cüneyt Çiçek  3 , Alper Uzun  4 , Kerim Çağlı  2
Affiliations
Case Reports

Successful long-term limb salvage using cephalic and small saphenous vein grafts: A case report

Ömer Faruk Çiçek et al. Int J Crit Illn Inj Sci. 2020 Jul-Sep.

Abstract

In this case report, we present a patient scheduled for operation due to critical leg ischemia in whom a bilateral great saphenous vein (GSV) had already been used during previous cardiac and peripheral vascular surgeries. The patient underwent femorofemoral crossover bypass from left to right with a small saphenous vein and right femoropopliteal bypass with cephalic vein (CV) during the same session. Distal pulses became palpable, and symptoms regressed dramatically following the operation. A control computed tomographic angiography scan revealed no signs of graft stenosis 32 months after the surgery. Despite the recent advances in synthetic graft materials, small saphenous and CVs should be remembered as alternative long-standing conduits in the absence of the GSV.

Keywords: Cephalic vein; peripheral arterial disease; small saphenous vein; synthetic graft.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative digital subtraction angiography showed stenotic lesions in the lower extremity arteries
Figure 2
Figure 2
Postoperative computed tomographic angiography showed the anterior view of the small saphenous vein graft used for the crossover bypass and the cephalic vein graft used for right femoropopliteal bypass
Figure 3
Figure 3
Postoperative computed tomographic angiography showed the posterior view of the cephalic vein graft used for the right femoropopliteal bypass
See this image and copyright information in PMC

References

    1. Veith FJ, Gupta SK, Ascer E, White-Flores S, Samson RH, Scher LA, et al. Six-year prospective multicenter randomized comparison of autologous saphenous vein and expanded polytetrafluoroethylene grafts in infrainguinal arterial reconstructions. J Vasc Surg. 1986;3:104–14. - PubMed
    1. Chew DK, Conte MS, Donaldson MC, Whittemore AD, Mannick JA, Belkin M. Autogenous composite vein bypass graft for infrainguinal arterial reconstruction. J Vasc Surg. 2001;33:259–64. - PubMed
    1. Hossain A, Harrington ME, Harrington EB, Soundararajan K, Hollier LH. Continuous loop of basilic-cephalic vein for lower extremity bypass: A case report and review. Vasc Endovascu Surg. 2000;34:265–70.
    1. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG, et al. Inter-society consensus for the management of peripheral arterial disease (TASC II) Eur J Vasc Endovasc Surg. 2007;33(Suppl 1):S1–75. - PubMed
    1. Curi MA, Skelly CL, Meyerson SL, Woo DH, Desai TR, McKinsey JF, et al. Conduit choice for above-knee femoropopliteal bypass grafting in patients with limb-threatening ischemia. Ann Vasc Surg. 2002;16:95–101. - PubMed

Publication types