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May 1984

Vascular Grafting: Clinical Applications and Techniques

Arch Surg. 1984;119(5):620-621. doi:10.1001/archsurg.1984.01390170112026

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This is an up-to-date discussion of graft development and techniques. Editor Creighton B. Wright has assembled a chronicle of the development of the first grafts, the present standards, and the future of grafting procedures. Many of the contributors are the original investigators.

The forte of this book is the section on small vessel grafting. Statistics from the major reported series are compared clearly in the text and in graphs. Comparisons of materials, techniques, locations, and risk factors are made. The development of, indications for use of, and applicable surgical techniques involved in a variety of grafts are discussed (autogenous saphenous veins; in situ saphenous vein bypasses; fresh and preserved homologous veins; modified bovine arterial grafts; umbilical vein grafts; externally supported, noncrimped, external-velour Dacron prostheses; and polytef). The future lies in improving small vessel grafts—endothelial seeding, carbon grafts, negatively charged glutaraldehyde-tanned grafts, etc.

There is an excellent discussion of thrombosis. As

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