Vein Patch Closure Using Below the Knee Greater Saphenous Vein for Femoral Endarterectomy Procedures is Not Always a Safe Choice

Vein Patch Closure Using Below the Knee Greater Saphenous Vein for Femoral Endarterectomy Procedures is Not Always a Safe Choice

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: Background: The complication of vein patch rupture is well described after carotid patch angioplasty; however, there is a paucity of data about the safety of vein patch closure in the setting of Rice Cakes femoral endarterectomy.Methods/results: From May 2012 to May 2015, 115 femoral endarterectomies with patch closure were performed.A patch rupture occurred in three cases (2.6%) with a mortality rate of 66% (2/3).

In all cases the greater saphenous vein below the knee was used as patch material.Discussion/conclusion: Vein patches, particularly from small calibre veins, should be excluded in femoral endarterectomy procedures as they pose On-Ear a substantial risk of rupture.Keywords: Angioplasty, Patch rupture, Femoral artery, Patch, Great saphenous vein.