Spiral Vein Graft Technique for Popliteal Artery AneurysmsWhat unique educational message is provided and why is it relevant?

Abstract

Introduction: In patients with popliteal artery aneurysm lacking a suitable vein for bypass, prosthetic graft, or endovascular stent graft are alternative treatment options. However, durability is limited. Construction of an autologous spiral vein graft has previously been used to replace infected aortic grafts and arteriovenous fistulas. Technical summary: Five patients underwent surgery for popliteal arterial aneurysm with the spiral vein graft technique. Technical success was 100%. Operative technique and results are reported. Conclusion: The spiral vein graft technique can be used for popliteal artery aneurysm with good short term results, avoiding use of prosthetic grafts. Keywords: Popliteal artery aneurysm, spiral vein graft, posterior approach