Tibiotibial vein bypass grafts: A new operation for limb salvage

Frank J. Veith, Enrico Ascer, Sushil K. Gupta, Sheila White-Flores, Seymour Sprayregen, Larry A. Scher, Russell H. Samson

Research output: Contribution to journalArticlepeer-review

76 Scopus citations


Tibiotibial bypasses were performed with short (8 to 33 cm) segments of reversed autologous vein in 14 patients who did not have longer segments of usable vein. All patients faced imminent amputation unless they had an effective revascularization. Two patients died, one within 1 month of operation. One patient required below-knee amputation despite a patent bypass. Eleven patients (79%) have a patent bypass and a functional limb 6 to 50 months after operation. These good patency results even with several grafts inserted into isolated segments of tibial arteries, some with incomplete plantar arches, suggest that these short vein grafts may be superior to other vein grafts. Tibiotibial bypasses may improve limb salvage results in otherwise difficult circumstances.

Original languageEnglish (US)
Pages (from-to)552-557
Number of pages6
JournalJournal of Vascular Surgery
Issue number4
StatePublished - Jul 1985

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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