The Hip: Preservation, Replacement and Revision

Technique for Microvascular Vein Grafting

- Discussion:

    - indicated when vessel anastomosis cannot be performed w/o tension;
- Vein Graft Harvest:
    - donor site:
          - dorsum of hand, dorsal and volar aspect of forearm, & dorsum of foot;
          - veins should roughly approximate the diameter of the vessel;
    - cauterize small side branches w/ bipolar forceps well away from vessel wall;
    - after vein grafts have been removed, reverse them end for end use for arterial reconstruction;
    - reversal is not necessary for venous reconstruction

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, August 23, 2012 10:52 am