Which type of revascularization surgery requires the use of a valvulatome?

The use of a valvulatome is specifically associated with in situ saphenous graft procedures. In situ grafting refers to the technique where the saphenous vein is harvested from its original location and remains in its anatomical position, but is prepared to bypass a diseased segment of a peripheral artery. This preparation is necessary because the saphenous vein has valves that can obstruct blood flow if not addressed properly.

The valvulatome is a specialized surgical instrument designed to incise and remove these valves, allowing for a smooth and unrestricted flow of blood through the graft. This is particularly important in ensuring that the graft functions effectively and reduces the risk of thrombosis or complications post-surgery.

In contrast, the other surgical options do not typically involve the same manipulation of venous valves. End-to-end anastomosis, femorofemoral bypass, and transposition grafting have different requirements and anatomical considerations that do not necessitate the use of a valvulatome.