Harvesting the superficial femoral vein as an autograft.

The superficial femoral-popliteal vein (SFPV) is an excellent conduit for reconstructing large arteries and veins. Herein we describe the anatomy, preoperative evaluation, and exposure technique of the SFPV. Harvesting the SFPV from the level of the knee joint to the confluence with the profunda femoris vein is associated with minimal mid- and late-term venous morbidity. These vein grafts have proved to be durable conduits, particularly in the aortofemoral position.