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Vascular grafts

From Surgopaedia

Relevant characteristics of a graft:

  • Porosity
  • Durability
  • Tissue reactivity
  • Flexibility


Types of graft

  • Autogenous
    • Typically, GSV, LSV, fem/pop vein, cephalic and basilic veins
    • Arterial segments can be used - especially internal mammary and radial artery
    • Harvesting:
      • Only grab adventitia with forceps to avoid crushing
      • Don't impinge lumen by clipping branches too close to wall
      • Don't over-distend
      • Keep moist
  • Homologous
  • Synthetic
  • Bovine
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