Femoral Vein Harvest for Vascular Reconstructions: Pitfalls and Tips for Success

The femoral-popliteal vein has proved to be an excellent conduit for a variety of indications. These include in situ reconstruction of infected aortic grafts, and mesenteric, brachiocephalic, and lower-extremity bypasses. This article discusses the technical details of successful deep vein harvest. Information regarding the preoperative evaluation, postoperative surveillance, reintervention, and venous morbidity is provided. The femoral-popliteal vein graft has proven to be a durable conduit with minimal late venous morbidity.