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Composite Saphenous Vein Grafts in Portacaval Shunting Evolution, Technique, Experience

Divisions of Vascular Surgery, Departments of Surgery, Hackensack Medical Center, Hackensack, NJ, UMDNJ, New Jersey Medical School, Newark, NJ

Charles M. Moss

Divisions of Vascular Surgery, Departments of Surgery, Hackensack Medical Center, Hackensack, NJ, UMDNJ, New Jersey Medical School, Newark, NJ

Roger C. Keys

Divisions of Vascular Surgery, Departments of Surgery, Hackensack Medical Center, Hackensack, NJ, UMDNJ, New Jersey Medical School, Newark, NJ

Nine patients with portal hypertension and bleeding esophageal varices un derwent composite saphenous vein graft (CSVG) portacaval shunts. CSVG por tacaval shunts incorporate the widely accepted and practiced principles of "H" grafting, as well as the known benefits of autogenous vein grafting in the venous system.

The evolution and validity of these principles is outlined. The technique of CSVG portacaval shunts is described in detail and illustrated.

Clinical experience with these shunts during a 13 year period has yielded satisfactory results. Other applications of this technique are suggested.

Vascular and Endovascular Surgery, Vol. 18, No. 6, 340-346 (1984)
DOI: 10.1177/153857448401800602


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