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Borisov A.G.

St. Petersburg City Hospital No. 14

Atmatzas K.A.

St. Petersburg City Hospital No. 14

Gruzdev N.N.

St. Petersburg City Hospital No. 14

Lipin A.N.

St. Petersburg City Hospital No. 14;
Kirov Military Medical Academy

Kuchay A.A.

St. Petersburg City Hospital No. 14

Orlov A.G.

St. Petersburg City Hospital No. 14

Tankaeva Z.M.

St. Petersburg City Hospital No. 14

Khokhlova I.M.

St. Petersburg City Hospital No. 14

Tibial autovenous bypass with single-segment and spliced vein

Authors:

Borisov A.G., Atmatzas K.A., Gruzdev N.N., Lipin A.N., Kuchay A.A., Orlov A.G., Tankaeva Z.M., Khokhlova I.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(5): 534‑538

DOI: 10.17116/kardio202518051534

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Table of contents

TIBIAL AUTOVENOUS BYPASS WITH SINGLE-SEGMENT AND SPLICED VEIN
TIBIAL AUTOVENOUS BYPASS WITH SINGLE-SEGMENT AND SPLICED VEIN

To cite this article:

Borisov AG, Atmatzas KA, Gruzdev NN, et al. Tibial autovenous bypass with single-segment and spliced vein. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(5):534‑538. (In Russ.)
https://doi.org/10.17116/kardio202518051534

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the early and delayed results of tibial autovenous bypass surgery for critical lower limb ischemia depending on conduit nature.

MATERIAL AND METHODS

A retrospective analysis of complications and delayed results included patients with critical lower limb ischemia who underwent tibial bypass surgery in 2017—2022. There were 130 cases. Two groups with similar characteristics were formed: group 1 (112 cases) — bypass with a single-segment conduit, group 2 (18 cases) — bypass with a spliced vein. There were no significant differences in the incidence of early postoperative complications or long-term results.

CONCLUSION

Tibial bypass surgery with a spliced vein have early and delayed postoperative results similar to those for a single-segment conduit. This material is a high-quality alternative to a single-segment graft.

Keywords:

atherosclerosis
chronic limb ischemia
arterial reconstructions
venous bypass
conduit
vascular surgery
peripheral arteries

Authors:

Borisov A.G.

St. Petersburg City Hospital No. 14

Atmatzas K.A.

St. Petersburg City Hospital No. 14

Gruzdev N.N.

St. Petersburg City Hospital No. 14

Lipin A.N.

St. Petersburg City Hospital No. 14;
Kirov Military Medical Academy

Kuchay A.A.

St. Petersburg City Hospital No. 14

Orlov A.G.

St. Petersburg City Hospital No. 14

Tankaeva Z.M.

St. Petersburg City Hospital No. 14

Khokhlova I.M.

St. Petersburg City Hospital No. 14

Received:

01.03.2024

Accepted:

10.04.2024

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References:

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  2. Johnson WC, Lee KK. A comparative evaluation of polytetrafluoroethylene, umbilical vein, and saphenous vein bypass grafts for femoral-popliteal above-knee revascularization: a prospective randomized Department of Veterans Affairs cooperative study. J Vasc Surg. 2000;32(2):268-277.  https://doi.org/10.1067/mva.2000.106944
  3. Ballotta E, Renon L, Toffano M, et al. Prospective randomized study on bilateral above-knee femoropopliteal revascularization: Polytetrafluoroethylene graft versus reversed saphenous vein. J Vasc Surg. 2003;38(5):1051-1055. https://doi.org/10.1016/s0741-5214(03)00608-6
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  5. Klinkert P, Schepers A, Burger DHC, et al. Vein versus polytetrafluoroethylene in above-knee femoropopliteal bypass grafting: five-year results of a randomized controlled trial. J Vasc Surg. 2003;37(1):149-155.  https://doi.org/10.1067/mva.2002.86
  6. Humbarger O, Siracuse JJ, Rybin D, et al. Broad variation in prosthetic conduit use for femoral-popliteal bypass is not justified on the basis of contemporary outcomes favoring autologous great saphenous vein. Vascular Quality Initiative. J Vasc Surg. 2019;70(5):1514-1523.e2.  https://doi.org/10.1016/j.jvs.2019.02.046
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  8. Kluckner M, Gruber L, Wippel D, et al. Long-Term Outcome of Bypass Surgery versus Endovascular Revascularization in Long Femoropopliteal Lesions. J Clin Med. 2023;12(10):3507. https://doi.org/10.3390/jcm12103507
  9. Suckow BD, Kraiss LW, Stone DH, et al. Comparison of Graft Patency, Limb Salvage, and Antithrombotic Therapy Between Prosthetic and Autogenous Below-Knee Bypass for Critical Limb Ischemia. Ann Vasc Surg. 2013;27(8):1134-1145. https://doi.org/10.1016/j.avsg.2013.01.019
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