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Intraoperative Prereconstruction Arteriography

Intraoperative Prereconstruction Arteriography Abstract • Intraoperative arteriography was performed in 57 patients undergoing arterial reconstructive surgery of the lower extremity prior to selection of the site for the distal anastomosis. In 42 patients (74%), this procedure proved to be of significant benefit. Prereconstructive intraoperative arteriography influenced surgery for seven patients in the following ways: (1) two patients had visualization of vessels not demonstrated on the preoperative arteriogram; and (2) five patients had demonstration of occlusive disease that favored selection of a more distal site of anastomosis. In the remaining 35 patients, the tibial vessels and arch were visualized more clearly, so that the degree and extent of disease were better appreciated. This may have important prognostic significance. On postreconstructive arteriography, an additional five patients were shown to have an anastomotic defect that was corrected in the operating room. Intraoperative arteriography is a rapid, safe, and simple procedure that should be considered as an adjunct in reconstructive surgery of the lower extremity. (Arch Surg 1981;116:1053-1055) References 1. Dardik H, Ibrahim I, Koslow A, et al: Evaluation of intraoperative arteriography as a routine for vascular reconstructions . Surg Gynecol Obstet 1978;147:853-858. 2. Plecha F, Pories W: Intraoperative angiography in the immediate assessment of arterial reconstruction . Arch Surg 1972;105:902-907.Crossref 3. Renwich S, Royle J, Martin P: Operative angiography after femoralpopliteal artery reconstruction: Its influence on early failure rate . Br J Surg 1968;55:134-136.Crossref 4. Dardik I, Ibrahim I, Sprayregen S, et al: Routine intraoperative angiography: An essential adjunct in vascular surgery . Arch Surg 1975;110:184-190.Crossref 5. Blaisdell W, Linn R, Hall A: Results of carotid endarterectomy: Arteriographic assessment . Am J Surg 1967;114:239-246.Crossref 6. Liebman P, Menzoian J, Mannick J, et al: Intraoperative arteriography in femoropopliteal and femorotibial bypass grafting . Arch Surg , 1981; 116:1019-1021.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Intraoperative Prereconstruction Arteriography

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1981.01380200053011
Publisher site
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Abstract

Abstract • Intraoperative arteriography was performed in 57 patients undergoing arterial reconstructive surgery of the lower extremity prior to selection of the site for the distal anastomosis. In 42 patients (74%), this procedure proved to be of significant benefit. Prereconstructive intraoperative arteriography influenced surgery for seven patients in the following ways: (1) two patients had visualization of vessels not demonstrated on the preoperative arteriogram; and (2) five patients had demonstration of occlusive disease that favored selection of a more distal site of anastomosis. In the remaining 35 patients, the tibial vessels and arch were visualized more clearly, so that the degree and extent of disease were better appreciated. This may have important prognostic significance. On postreconstructive arteriography, an additional five patients were shown to have an anastomotic defect that was corrected in the operating room. Intraoperative arteriography is a rapid, safe, and simple procedure that should be considered as an adjunct in reconstructive surgery of the lower extremity. (Arch Surg 1981;116:1053-1055) References 1. Dardik H, Ibrahim I, Koslow A, et al: Evaluation of intraoperative arteriography as a routine for vascular reconstructions . Surg Gynecol Obstet 1978;147:853-858. 2. Plecha F, Pories W: Intraoperative angiography in the immediate assessment of arterial reconstruction . Arch Surg 1972;105:902-907.Crossref 3. Renwich S, Royle J, Martin P: Operative angiography after femoralpopliteal artery reconstruction: Its influence on early failure rate . Br J Surg 1968;55:134-136.Crossref 4. Dardik I, Ibrahim I, Sprayregen S, et al: Routine intraoperative angiography: An essential adjunct in vascular surgery . Arch Surg 1975;110:184-190.Crossref 5. Blaisdell W, Linn R, Hall A: Results of carotid endarterectomy: Arteriographic assessment . Am J Surg 1967;114:239-246.Crossref 6. Liebman P, Menzoian J, Mannick J, et al: Intraoperative arteriography in femoropopliteal and femorotibial bypass grafting . Arch Surg , 1981; 116:1019-1021.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1981

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