[Quality of life after superficial femoral vein harvest for infra-inguinal reconstructions]

Praxis (Bern 1994). 2006 Mar 22;95(12):447-50. doi: 10.1024/0369-8394.95.12.447.
[Article in French]


Background: The superficial femoral vein (SFV) is a well-established alternative conduit for infra-inguinal reconstructivenous hypertension after SFV harvest may however result in significant morbidity. This study reports the efficiency of SFV as conduit for infra-inguinal reconstructions and characterize the anatomic and physiologic changes in harvest limbs and their relationship to the development of venous complications.

Methods: From May 1999 through November 2003, 23 SFV were harvested from 21 patients undergoing infra-inguinal reconstructions. Bypasses were controlled by regular duplex-ultrasound. The venous morbidity was assessed by measurements of leg circumferences, strain-gauge plethysmography and quality of life, investigated by the VEINES-QOL scale.

Results: At a mean follow-up of 10.4 months (range 1-56), primary, secondary patency and limb salvage rates of infra-inguinal bypasses using SFV are 71.4%, 76.2% and 85.7% respectively. No patient had major venous claudication. Oedema was significantly present in nine patients. Strain-gauge plethysmography showed outflow obstruction in all patients. The VEINES-QOL assessment showed no limitation in social and domestic activity, moderate complain about leg heaviness despite presence of oedema.

Conclusion: The SFV harvest is a reliable conduit for infra-inguinal reconstructions and results in moderate venous morbidity in terms of functional consequences and quality of life.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Aged
  • Aged, 80 and over
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation
  • Female
  • Femoral Vein*
  • Follow-Up Studies
  • Humans
  • Leg / blood supply*
  • Limb Salvage*
  • Male
  • Middle Aged
  • Plethysmography, Impedance
  • Prospective Studies
  • Quality of Life
  • Risk Factors
  • Surveys and Questionnaires
  • Survival Analysis
  • Time Factors
  • Tissue and Organ Harvesting*
  • Ultrasonography, Doppler, Duplex
  • Vascular Patency
  • Vascular Surgical Procedures*