{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:56:51Z","timestamp":1785819411845,"version":"3.56.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005788","name":"Medical University of Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100005788","name":"Medizinische Universit\u00e4t Wien","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Reconstruction of the aorto\u2010iliac segment with femoral vein (FV) as substitute for infected synthetic grafts or mycotic aneurysms constitutes the most sustainably convenient alternative. The aim of this study was to evaluate the long\u2010term outcome of up to 16 years of follow\u2010up, analysing the morphologic adaption of the FV with special emphasis on the distal and proximal anastomoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study of 22 patients with 109 computed tomography angiograms (CTAs) treated between August 2001 and January 2020\u00a0in case of aortic infection\/aortitis. Morphologic changes like anastomotic dilatation\/stenosis as well as changes of FV wall thickness were retrospectively analysed in pre\u2010 and postoperative CTAs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Elective procedure was done in 17\/22 (77%) cases, and 5\/22 (23%) patients required emergent surgery. The median follow\u2010up was 91.5\u00a0months (P<jats:sub>25<\/jats:sub>;P<jats:sub>75<\/jats:sub>\u2009=\u200921;117). Cross\u2010sectional diameter of proximal (20.38\u2009\u00b1\u20093.77 vs 22.04\u2009\u00b1\u20093.97\u00a0mm, <jats:italic>p<\/jats:italic>\u2009=\u20090.007) and distal anastomoses (13.05\u2009\u00b1\u20094.23 vs 14.61\u2009\u00b1\u20095.19\u00a0mm, <jats:italic>p<\/jats:italic>\u2009=\u20090.05) increased significantly, as well as the proximal and distal anastomotic areas (3.36\u2009\u00b1\u20091.29 vs 4.32\u2009\u00b1\u20091.63\u00a0mm<jats:sup>2<\/jats:sup>, <jats:italic>p<\/jats:italic>\u2009=\u20090.04 and 0.99\u2009\u00b1\u20090.48 vs 1.25\u2009\u00b1\u20090.72\u00a0mm<jats:sup>2<\/jats:sup>, <jats:italic>p<\/jats:italic>\u2009=\u20090.023, respectively). Venous wall thickness was significantly reduced at the anastomotic site (1.74\u2009\u00b1\u20090.46 vs 1.24\u2009\u00b1\u20090.31\u00a0mm, <jats:italic>p<\/jats:italic>\u2009=\u20090.001). The upper thigh diameter did not differ before and after harvesting of the FV (161.6\u2009\u00b1\u200929.1 vs. 178.2\u2009\u00b1\u200923.3\u00a0mm, <jats:italic>p<\/jats:italic>\u2009=\u20090.326, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This long\u2010term CTA follow\u2010up study showed that the FV wall becomes thinner at the anastomotic site, and the anastomoses dilate with time without rupture. The FV is a durable conductor after replacement of the aorto\u2010iliac segment due to aortic infection. Further CTA studies from more centres are warranted to evaluate the risk of vein rupture.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-022-06460-w","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T17:04:56Z","timestamp":1643907896000},"page":"1235-1242","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Femoral Vein as a Long\u2010Term Aorto\u2010Iliac Graft for Aortic Infection and Aortitis"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9322-6193","authenticated-orcid":false,"given":"W.","family":"Eilenberg","sequence":"first","affiliation":[{"name":"Department of General Surgery, Division of Vascular Surgery Medical University of Vienna, General Hospital of Vienna Waehringer Guertel 18\u201020 1090 Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Klopf","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Division of Vascular Surgery Medical University of Vienna, General Hospital of Vienna Waehringer Guertel 18\u201020 1090 Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. M.","family":"Domenig","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Division of Vascular Surgery Medical University of Vienna, General Hospital of Vienna Waehringer Guertel 18\u201020 1090 Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Klinger","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Division of Vascular Surgery Medical University of Vienna, General Hospital of Vienna Waehringer Guertel 18\u201020 1090 Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Biomedical Imaging and Image Guided Therapy, Division of Cardiovascular and Interventional Radiology Medical University of Vienna, General Hospital of Vienna Waehringer Guertel 18\u201020 1090 Vienna 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