Evidence map›Paper›PMID 42866392›Full record

ArticleAnnals of vascular diseases2026

Impact of Limb Severity on the Wall Structure of the Great Saphenous Vein and Its Involvement in Vein Graft Patency.

Shinsuke Kikuchi, Yuri Yoshida, Tadahiro Sasajima, Tsutomu Doita, Keisuke Kamada, Seima Ohira, Naoya Kuriyama, Nobuyoshi Azuma

Abstract read
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Article in Annals of vascular diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shinsuke KikuchiDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Yuri YoshidaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Tadahiro SasajimaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Tsutomu DoitaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Keisuke KamadaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Seima OhiraDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Naoya KuriyamaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Nobuyoshi AzumaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to determine pathologically how limb severity in chronic limb-threatening ischemia affects the great saphenous vein (GSV) wall, and whether it influences vein graft patency. Methods: In 89 limbs undergoing infrainguinal bypass with the ipsilateral GSV, the intimal and medial thickness of the residual vein segment was measured. Wound (W), ischemia (I), and foot infection (fI) grades were assessed, with loss of primary graft patency as the endpoint. Results: Primary patency was 72.3% at 1 year and 59.3% at 2 years. Independent factors for patency loss were poor-quality vein (hazard ratio [HR] 3.12), severe W grade (HR 2.63), and cerebrovascular disease. Severe W cases had a thicker intima (56.0 vs. 28.1 μm, P <0.01) and media (310.4 vs. 255.8 μm, P = 0.02) than mild cases; the I and fI grades showed no differences. Between the patency-loss (n = 31) and maintained (n = 58) groups, intimal thickness was similar (51.2 vs. 44.1 μm, P = 0.57), whereas medial thickness differed (349.9 vs. 261.1 μm, P <0.01; area under the curve 0.65). Above versus below a 280-μm medial cutoff, patency was 43.0% versus 75.7% (P = 0.03). Conclusions: Medial thickening of the preplacement GSV, seen with a severe wound grade, may be a critical factor in vein graft failure. (This is a secondary publication of Jpn J Phlebol 2025; 36: 89-97.).

Indexed as

chronic limb-threatening ischemiadistal bypassgreat saphenous veinlimb severityvein graft

Identifiers

PMID42866392
PMCPMC13657688

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.