Document Detail

Intraoperative assessment of in situ saphenous vein bypass grafts by vascular endoscopy.
MedLine Citation:
PMID:  3215323     Owner:  NLM     Status:  MEDLINE    
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.
K D Woelfle; H Loeprecht; H Weber; K Zinkl
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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    
Department of Vascular and Thoracic Surgery, Zentralklinikum Augsburg, W. Germany.
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MeSH Terms
Anastomosis, Surgical
Endoscopy / methods*
Intraoperative Period
Saphenous Vein / transplantation*
Vascular Patency*

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