Open AccessThe Use of Operative Prebypass Arteriography and Doppler Ultrasound Recordings to Select Patients for Extended Femoro-distal Bypass
Author(s) -
JeanBaptiste Ricco,
William H. Pearce,
James S.T. Yao,
William R. Flinn,
John J. Bergan
Publication year - 1983
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198311000-00015
Subject(s) - medicine , doppler ultrasound , ultrasound , radiology , bypass operation , surgery , anastomosis , operability , femoral artery , artery , engineering , reliability engineering
Of 113 preoperative arteriograms analyzed, 46 (40%) were unsatisfactory to determine operability for femoral-distal bypass. In 23 of these 46 arteriograms, there was complete nonvisualization of calf vessels (Group A) and in the remaining 23, there was limited visualization (Group B). Both prebypass, on-table operative arteriography and Doppler ultrasound recordings were helpful in predicting the best available artery for bypass in all but one patient (4%) in Group A. In Group B, 7 of 23 patients had the site of distal anastomosis altered after prebypass, ontable arteriography. There was no statistical difference in the patency rates of grafts in patients with inadequate visualization (Groups A and B) and those with adequate visualization (67 patients, Group C). Prebypass, on-table operative arteriography, supplemented by preoperative Doppler ultrasound recordings, helps to extend operability and to avoid unnecessary amputation.