A Comparative Study of Intraoperative Angioscopy and Completion Arteriography Following Femorodistal Bypass

Bernard Timothy Baxter, Robert J. Rizzo, William R. Flinn, Carol N. Almgren, Walter J. McCarthy, William H. Pearce, James S.T. Yao

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

A prospective comparison of the findings on standard completion arteriography with those seen using videoangioscopy was done following 49 cases of “femorodistal” bypass grafting in 47 patients. The two techniques were compared with respect to the detection of technical defects, modification of the surgical procedures, early graft patency (72 hours), and complications. Completion arteriography was specific (95%) but only moderately sensitive (67%) compared with angioscopy for detection of technical problems. Following angioscopy, significant alterations in the surgical procedure were noted in 5 (10%) of the 49 cases. Early graft failure occurred in 3 (6.1%) cases but none were identifiably due to technical problems. Four patients suffered postoperative myocardial infarctions, 2 (4.2%) of which were fatal; no patients had contrast-induced allergies or renal failure. Angioscopy was measurably more accurate for the detection of technical problems than completion arteriography, but offered little information about distal arterial anatomy that may have an impact on graft patency or the use of antithrombotic therapy.

Original languageEnglish (US)
Pages (from-to)997-1002
Number of pages6
JournalArchives of Surgery
Volume125
Issue number8
DOIs
StatePublished - Jan 1 1990

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Angioscopy
Angiography
Transplants
Renal Insufficiency
Anatomy
Hypersensitivity
Myocardial Infarction
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

A Comparative Study of Intraoperative Angioscopy and Completion Arteriography Following Femorodistal Bypass. / Baxter, Bernard Timothy; Rizzo, Robert J.; Flinn, William R.; Almgren, Carol N.; McCarthy, Walter J.; Pearce, William H.; Yao, James S.T.

In: Archives of Surgery, Vol. 125, No. 8, 01.01.1990, p. 997-1002.

Research output: Contribution to journalArticle

Baxter, Bernard Timothy ; Rizzo, Robert J. ; Flinn, William R. ; Almgren, Carol N. ; McCarthy, Walter J. ; Pearce, William H. ; Yao, James S.T. / A Comparative Study of Intraoperative Angioscopy and Completion Arteriography Following Femorodistal Bypass. In: Archives of Surgery. 1990 ; Vol. 125, No. 8. pp. 997-1002.
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