A novel method of vein cuff creation for below-knee femoropopliteal bypass with a prosthetic graft

• Main Authors: Shun-Ichiro Sakamoto, MD, PhD, Masafumi Shibata, MD, PhD, Ken-Ichiro Takahashi, MD, Motoko Morishima, MD, Atsushi Hiromoto, MD, Takashi Nitta, MD, PhD
• Format: Article
• Language: English
• Published: Elsevier 2020-06-01
• Series: Journal of Vascular Surgery Cases and Innovative Techniques
• Subjects: Femoropopliteal bypass; Vein cuff; Miller's cuff
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428720300204
• ISSN: 2468-4287

Vein cuff anastomosis is beneficial in cases in which a prosthetic graft is anastomosed to a small and thickened peripheral artery. Various types of vein cuff are currently in use, although their design is insufficient when a size discrepancy exists between the two vessels and the angle of anastomosis requires adjustment. We report a case of a patient who underwent below-knee femoropopliteal bypass using a new design of vein cuff (boat-form vein cuff) that increases the ease of cuff creation and enables surgeons to adjust the anastomotic size and angle.