Document Detail


Aorto-iliac reconstruction without arteriography.
MedLine Citation:
PMID:  8651396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Duplex imaging has been shown to be as accurate as arteriography in detecting hemodynamically significant aorto-iliac stenosis or occlusions. METHODS: Review of the duplex scan and arteriogram reports for all primary aorto-iliac reconstructions performed during an 18-month period was undertaken. Deviations from the preoperatively planned procedure were determined. The role of the duplex scan on procedure selection was assessed. RESULTS: Of the 54 patients identified, 13 had both duplex scan and arteriography (group I), 30 had only arteriography (group II), and 11 had only duplex scans (group III). Ten group I, 15 group II, and 9 group III patients had an occluded aorta or iliac artery. Two patients (3 anastomosis) required placement of the distal anastomosis on the common femoral rather than the external iliac artery as planned preoperatively. Both had been arteriogrammed. No group III patient required deviation from the preoperative plan. CONCLUSION: Aorto-iliac reconstruction can be performed without arteriography when a totally occluded aorta or iliac artery is identified by duplex scanning.
Authors:
K Bodily; J Buttorff; A Nordesgaard; R Osborne
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  171     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-07-19     Completed Date:  1996-07-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  505-7     Citation Subset:  AIM; IM    
Affiliation:
Cascade Vascular Associates, St. Joseph Medical Pavilion, Tacoma, Washington, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Diseases / radiography,  surgery*,  ultrasonography*
Arterial Occlusive Diseases / radiography,  surgery*,  ultrasonography*
Humans
Iliac Artery* / radiography,  surgery
Retrospective Studies
Treatment Outcome
Ultrasonography, Doppler, Duplex*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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