Abtract: Recently, a new proximal anastomosis device of a saphenous vein graft (SVG) to the aorta, the PAS-Port device (Cardica, Redwood City, Calif) has been introduced and yielded encouraging results in terms of neurologic complications and early patency.1,2 However, there is a concern about the midterm (at least 1 year after surgical intervention) patency rate. The aim of this study was to e...

INTRODUCTION Venous congestion is the main cause of failure in the distally based sural artery flap. Herein, we present our technique of phlebotomy to relieve flap congestion. Venous blood is intermittently drained via an exteriorized segment of the short saphenous vein until flap circulation normalizes. METHODS AND MATERIALS From 2000 to 2005, 34 distally based sural artery flaps were perfor...

Background. Aim of this paper is to evaluate the safety and the patency rate of the infrapopliteal bypass grafts performed with the great saphenous vein (GSV) with small (<2.5 mm) or large calibre (>5 mm). Patients and methods. Between January 2003 and May 2007, 73 infragenicular bypass with autologus saphenous vein were performed in patients affected by atherosclerotic femoropopliteal disease....

Angioplasty of totally occluded saphenous vein grafts is a very challenging procedure and the likelihood of distal embolisation and no-reflow is much higher than in any conventional angioplasty. The use of thrombus aspiration and distal protection devices, although not well studied in a large number of patients, has been shown to be quite effective in preventing such complications. In this case...

In 1954 a woman was operated on for bilateral varicose long saphenous veins. The saphenofemoral junctions were tied and the saphenous trunks were stripped from the groin to the ankles. Six months later she returned with almost identical varices. How could they have filled? Reexamination showed that when the veins were emptied, and a tourniquet applied at the groin, on standing they immediately ...

PURPOSE We aimed to assess the technical feasibility of targeted endovenous treatment of Giacomini vein insufficiency (GVI)-associated varicose disease and report our early results. METHODS We retrospectively screened 335 patients with varicose disease who underwent endovenous laser ablation from September 2011 to January 2013, and determined 17 patients who underwent Giacomini vein ablation....