Cited by 33Peripheral Artery Disease ManagementReconstructive Surgery and Microvascular TechniquesInfectious Aortic and Vascular Conditions

Bovine Mesenteric Vein Graft (ProCol) in Critical Limb Ischaemia with Tissue Loss and Infection

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Schmidli, J, Savolainen, H, Heller, G, Widmer, M.K, Then-Schlagau, U, Baumgartner, I, Carrel, T.P·2004·European Journal of Vascular and Endovascular Surgery

Abstract

Objectives Poor results have been reported following infrainguinal reconstructions using heterogenous grafts. The objective of this study was to assess the use of bovine mesenteric vein (ProCol) graft in patients with critical limb ischaemia (CLI), tissue loss/infection and no autologous vein available for reconstruction. Methods Prospective analysis of 32 patients with CLI and tissue loss/infection, in whom reconstruction with ProCol was undertaken between October 1999 and May 2002. Results The primary patency rate was 16% at 1 month. After thrombectomy, the secondary patency rate was 50% at 1 month and 26% at 14 months. No graft infections were seen. Aneurysmal dilatation of the graft occurred in 2 (6%). Limb salvage at 14 months was 47%. Conclusion In patients with critical limb ischaemia, tissue loss/infection and no available vein, the ProCol graft may be an alternative. However, primary patency is a problem. In situations without tissue loss/infection, where the risk of graft infection is less, prosthetic material may be a better alternative.

Integrity signals

Registry

Crossref · 10.1016/j.ejvs.2003.12.001

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16 of 16 references verified0 citation errors · 0 not checkable

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Authors
Schmidli, J., Savolainen, H., Heller, G., Widmer, M. K., Then-Schlagau, U., Baumgartner, I., & Carrel, T. P.
Affiliations
University Hospital of Bern (CH)
Corresponding author
Schmidli, J
Venue
European Journal of Vascular and Endovascular Surgery
Publisher
Elsevier BV
Published
2004-03
Volume
27
Issue
3
Pages
251-253
ISSN
1078-5884 (ISSN-L)
OpenAlex
W2139320919
Cited by
33
References
17
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 7 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 1
FWCI
0.31
Type
journal article
Language
en
Open access
Locations
  • European Journal of Vascular and Endovascular Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
  • Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
  • Health Sciences › Medicine › Surgery › Infectious Aortic and Vascular Conditions
Keywords
critical limb ischemia, tissue loss, limb infection, infrainguinal reconstruction, graft patency, graft infection, limb salvage
MeSH terms
Adult, Aged, Aged, 80 and over, Animals, Cattle, Female, Humans, Ischemia, Leg, Male, Mesenteric Veins, Middle Aged, Transplantation, Heterologous, Vascular Surgical Procedures

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