| Intraoperative assessment of in situ saphenous vein bypass grafts by vascular endoscopy. | |
| | |
MedLine Citation:
|
PMID: 3215323 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Intraoperative vascular endoscopy was used in 20 femorocrural in situ saphenous vein bypass procedures in order to control valvular incompetence, to localize side branches and to assess the integrity of the distal anastomosis. We used an Olympus Fiberscope (PF-27L) with a diameter of 2.7 mm and a working length of 80 cm, which had fixed illuminating and viewing fibers and a steerable tip, Valvulotomy was performed according to the technique described by R. Leather using a valve-cutter. In 8 out of 20 patients, partly retained valve leaflets were found by intraluminal inspection and could be immediately corrected. The integrity of the distal anastomosis was verified angioscopically in 14 patients. In addition, venous side branches, which had to be ligated, were easily identified under direct vision and localized by transillumination of the endoscopic light through the skin. Vascular endoscopy seems to be a practicable and time saving method to control in situ vein bypass procedures. The steps of the procedure and early results after 20 bypasses for limb salvage are presented. |
| | |
Authors:
|
K D Woelfle; H Loeprecht; H Weber; K Zinkl |
Related Documents
:
|
1082533 - Coronary artery bypass with freeze-preserved saphenous vein allografts. 3488043 - An improved technique for long saphenous vein harvesting for coronary revascularization. 16679813 - Insertion of double bicanalicular silicone tubes after endonasal dacryocystorhinostomy ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: European journal of vascular surgery Volume: 2 ISSN: 0950-821X ISO Abbreviation: Eur J Vasc Surg Publication Date: 1988 Aug |
Date Detail:
|
Created Date: 1989-03-09 Completed Date: 1989-03-09 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8709440 Medline TA: Eur J Vasc Surg Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 257-62 Citation Subset: IM |
Affiliation:
|
Department of Vascular and Thoracic Surgery, Zentralklinikum Augsburg, W. Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anastomosis, Surgical Endoscopy / methods* Humans Intraoperative Period Saphenous Vein / transplantation* Vascular Patency* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Distal anastomotic intimal hyperplasia: biogenesis and etiology.
Next Document: Popliteal venous aneurysm.