Availability of the Great Saphenous Veins as Conduits for Arterial Bypass Surgery in Patients with Varicose Veins
2024

Great Saphenous Veins for Bypass Surgery in Varicose Vein Patients

Sample size: 285 publication Evidence: moderate

Author Information

Author(s): Golovina Veronika, Panfilov Vladislav, Seliverstov Evgenii, Erechkanova Darina, Zolotukhin Igor

Primary Institution: Pirogov Russian National Research Medical University

Hypothesis

What is the rate of varicose vein patients with lower extremity arterial disease who have lost their great saphenous vein due to venous ablation?

Conclusion

Almost 20% of patients may have both lower extremity arterial disease and varicose veins, with most having the ipsilateral great saphenous vein unavailable as a potential conduit.

Supporting Evidence

  • 21.75% of patients had varicose veins or had undergone previous varicose vein-related procedures.
  • Among limbs with varicose veins, 82.6% had the great saphenous vein unavailable.
  • 19.9% of limbs without varicose veins also had the great saphenous vein unavailable.

Takeaway

Some people with leg problems can't use a specific vein for surgery because it was damaged before. This study looked at how many of those people there are.

Methodology

A total of 285 patients with lower extremity arterial disease were enrolled, and duplex ultrasound was performed on 111 patients to assess the suitability of the great saphenous vein.

Limitations

The study had a relatively small sample size and was conducted at a single center, which may limit the generalizability of the findings.

Participant Demographics

The mean age of participants was 70.5 years, with 209 males and 76 females.

Statistical Information

P-Value

0.0001

Confidence Interval

95% confidence interval 8.35–42.35

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jcm13247747

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