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Extended study of aneurysm formation in umbilical vein grafts

Journal of Vascular Surgery 4(5): 486-492

Extended study of aneurysm formation in umbilical vein grafts

The rate of aneurysm formation in umbilical vein grafts has been reported to lie between 1% and 8%. However, in these reported series of the number of grafts with aneurysms was related to the number of grafts inserted. When the denominator is changed to patent grafts at a given time period, the incidence changes drastically. In this study, duplex scanning was used to detect aneurysms in patent grafts. Four types of aneurysms.sbd.localized fusiform, localized eccentric, diffuse, and anastomotic.sbd.were recognized. Excluding anastomotic aneurysms, 33% of the grafts patent at 3 years were aneurysmal; in those patent at 4 years, 45% were aneurysmal; and in those patent at 5 or more years, 65% were aneurysmal. On grounds of theoretical considerations, it is believed that duplex scanning is more reliable than either clinical examination or arteriographic study for detecting these aneurysms. There is now evidence that the supporting Dacron mesh is too weak and must be strengthened. Despite aneurysm formation, the patency rate in our series has remained second only to saphenous vein grafts, as previously reported.

Accession: 005432683

PMID: 2945935

DOI: 10.1016/0741-5214(86)90385-X

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Related references

Dardik, H.; Turner, R., 1990: A clinicopathologic study of aneurysm formation of glutaraldehyde-tanned human umbilical vein grafts. Journal of Vascular Surgery 12(2): 221-222

Boontje A.H., 1985: Aneurysm formation in human umbilical vein grafts. Journal Of Cardiovascular Surgerysuppl: 14

Giordano, J.M.; Keshishian, J.M., 1982: Aneurysm formation in human umbilical vein grafts. The human umbilical vein graft has been used for arterial bypass since 1975. Patency rates have been acceptable and complications minimal. Unlike other biologic grafts, true aneurysms have not been previously reported. Three cases of aneurysm form...

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Ratto G.B.; Romano P.; Truini M.; Badini A.; Zaccheo D.; Motta G., 1990: Aneurysm formation and perforation in glutaraldehyde tanned umbilical vein grafts. Dilatation and perforation of the prosthetic wall represent major problems limiting long-term function of biologic arterial substitutes. One case of multiple aneurysm formation and one of graft wall perforation, occurring nine and three years, res...

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