Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

A Simple Intraoperative Assessment of Saphenous Vein Arterial Grafts

A Simple Intraoperative Assessment of Saphenous Vein Arterial Grafts Abstract To the Editor.—I should like to make a few comments on the article by Bandyk and colleagues1 in the March issue of the Archives. While I have no quarrel with the elegant intraoperative studies done by Bandyk and associates, I feel that pulsed Doppler spectral analysis may not be available to the average community hospital surgeon, and I feel it is redundant if proper attention is given to the techniques of this procedure. We perform our operation with a modified Hall valvulotome and have recognized no residual or retained valves during surgery or in the early postoperative period in 61 consecutive cases. Our patients are followed up at three-month intervals, and we did recognize a hypertrophied valve causing hemodynamic disturbances at the one-year mark in one patient. Indeed, this hypertrophied valve was detected with a simple bidirectional Doppler transducer and was explored and excised, and the graft was References 1. Bandyk DF, Jorgensen RA, Towne JB: Intraoperative assessment of in situ saphenous vein arterial grafts using pulsed Doppler spectral analysis . Arch Surg 1986;121:292-299.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

A Simple Intraoperative Assessment of Saphenous Vein Arterial Grafts

Archives of Surgery , Volume 122 (1) – Jan 1, 1987

A Simple Intraoperative Assessment of Saphenous Vein Arterial Grafts

Abstract

Abstract To the Editor.—I should like to make a few comments on the article by Bandyk and colleagues1 in the March issue of the Archives. While I have no quarrel with the elegant intraoperative studies done by Bandyk and associates, I feel that pulsed Doppler spectral analysis may not be available to the average community hospital surgeon, and I feel it is redundant if proper attention is given to the techniques of this procedure. We perform our operation with a modified Hall...
Loading next page...
 
/lp/american-medical-association/a-simple-intraoperative-assessment-of-saphenous-vein-arterial-grafts-VlnvcvdfWH
Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1987.01400130127029
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—I should like to make a few comments on the article by Bandyk and colleagues1 in the March issue of the Archives. While I have no quarrel with the elegant intraoperative studies done by Bandyk and associates, I feel that pulsed Doppler spectral analysis may not be available to the average community hospital surgeon, and I feel it is redundant if proper attention is given to the techniques of this procedure. We perform our operation with a modified Hall valvulotome and have recognized no residual or retained valves during surgery or in the early postoperative period in 61 consecutive cases. Our patients are followed up at three-month intervals, and we did recognize a hypertrophied valve causing hemodynamic disturbances at the one-year mark in one patient. Indeed, this hypertrophied valve was detected with a simple bidirectional Doppler transducer and was explored and excised, and the graft was References 1. Bandyk DF, Jorgensen RA, Towne JB: Intraoperative assessment of in situ saphenous vein arterial grafts using pulsed Doppler spectral analysis . Arch Surg 1986;121:292-299.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1987

References