Document Detail


Intraoperative fiberoptic angioscopy to evaluate the completeness of pulmonary embolectomy.
MedLine Citation:
PMID:  2674156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraoperative angioscopy was performed in three patients who underwent pulmonary embolectomy for massive pulmonary embolism. Angioscopy followed conventional techniques such as extracting the clot by a gallstone forceps, using a Fogarty catheter in the pulmonary tree or squeezing of the lungs. The rationale for angioscopy was to assess the result of these usual "blind" techniques. In two patients residual thrombus was detected and removed under direct visual control. Our initial experience suggests that intraoperative angioscopy appears to be useful in the detection of residual thrombus material, especially in the asanguinous, arrested heart. The small size of the angioscope allows easily access to the secondary, and up to the tertiary pulmonary branches. Clots can be visualized and extracted under direct visual control.
Authors:
W J Morshuis; E W Jansen; J G Vincent; F J Heystraten; L K Lacquet
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  30     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1989 Jul-Aug
Date Detail:
Created Date:  1989-10-16     Completed Date:  1989-10-16     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  630-4     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiac Surgery, University Hospital St. Radbound, Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aged
Angiography / methods
Endoscopy / methods*
Female
Fiber Optic Technology / instrumentation
Humans
Intraoperative Care / methods
Male
Postoperative Care
Pulmonary Embolism / diagnosis,  surgery*
Radiographic Image Enhancement
Subtraction Technique

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


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