| The role of intra-operative duplex imaging in arterial reconstructions. | |
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MedLine Citation:
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PMID: 8651394 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study is a cost-benefit analysis of a less invasive method of intra-operative duplex imaging compared with the use of intra-operative angiogram (including C-arm fluoroscopy) in arterial reconstruction. METHODS: From September 1994 to May 1995, 93 intra-operative duplex imaging studies were performed. Duplex scanning results were recorded for carotid endarterectomy (35), iliac balloon angioplasty and stent placement (12), and infra-inguinal bypass (46). Average cost and time were calculated for each type of study. RESULTS: Thirty-four carotid endarterectomy patients (97%) had normal duplex findings. Three (9%) underwent intra-operative angiogram due to abnormal duplex findings and post-operative neurological deficit. In iliac balloon angioplasty and stent placement cases (12), both intra-operative duplex and C-arm post-stent angiography yielded comparable results in both normal (11) and abnormal (1) studies. In infra-inguinal bypass cases (46), 2 had abnormal duplex findings of the native vessels. Average time and cost required to perform intra-operative duplex studies is significantly less than that required for intra-operative angiogram or C-arm studies. CONCLUSION: Compared with traditional intra-operative angiography, the use of intra-operative duplex imaging is less expensive, less invasive, quicker, and equally accurate when used as an adjunct to access surgical results of arterial reconstructions. |
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Authors:
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A Yu; D Gregory; L Morrison; S Morgan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 171 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-07-19 Completed Date: 1996-07-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 500-1 Citation Subset: AIM; IM |
Affiliation:
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Vascular Surgical Service, Tacoma General Hospital, Washington, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon Costs and Cost Analysis Endarterectomy, Carotid Humans Iliac Artery Intraoperative Period Treatment Outcome Ultrasonography, Doppler, Duplex* / economics Vascular Diseases / economics, surgery*, ultrasonography* Vascular Surgical Procedures* / economics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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