This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (83)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Fred R. Plecha, MD; Walter J. Pories, MD

AMA Arch Surg. 1972;105(6):902-907.

Abstract
Forty-three unsuspected technical errors were detected by intraoperative angiography during 183 vascular reconstructions. All 43 were revised prior to wound closure and these revisions were successful in 34 or 79% of these cases. The wide variety of unsuspected defects shown on intraoperative angiography included incomplete thromboembolectomies and endarterectomies, anastomotic stenoses, graft torsions or kinks, and unsuspected clots. Errors in reconstruction were most common in thromboembolectomies, endarterectomies, and femoropopliteal bypass grafts.

In spite of satisfactory postreconstructive intraoperative angiograms, 13 of the cases required revision during the postoperative period. Hemorrhage accounted for nine of these early failures.

Intraoperative angiography is a useful, safe, and rapid adjunct in vascular reconstructive surgery.

Author Affiliations
Cleveland

From the Department of Surgery, Case Western Reserve University School of Medicine at the Cleveland Metropolitan General Hospital.

Footnotes
Accepted for publication July 13, 1972.

Read before the 20th scientific meeting of the International Cardiovascular Society, Carmel, Calif, June 24, 1972.

Reprint requests to 3395 Scranton Rd, Cleveland, Ohio 44109 (Dr. Plecha).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Percutaneous Isolated Limb Perfusion with Thrombolytics for Severe Limb Ischemia
Ali et al.
VASC ENDOVASCULAR SURG 2005;39:491-497.
ABSTRACT  

Intraoperative Carotid Evaluation
Mays et al.
Arch Surg 2000;135:525-529.
ABSTRACT | FULL TEXT  

Significance of Arterial Defects on Completion Arteriograms Following Infrainguinal Bypasses
Sugawara et al.
VASC ENDOVASCULAR SURG 1998;32:33-41.
ABSTRACT  

Study of Peripheral Flow During Successful Aortoiliac and Aortofemoral Prosthetic Reconstructions by Intraoperative Above-Ankle Pressure Index Monitoring
Giulini et al.
VASC ENDOVASCULAR SURG 1990;24:307-315.
ABSTRACT  

Limitations of the Use of Intra-Arterial Fibrinolytic Agents in Acute Lower Limb Ischemia
Corson et al.
VASC ENDOVASCULAR SURG 1986;20:105-111.
ABSTRACT  

Detection of Technical Error During Arterial Surgery by Pulsed Doppler Spectral Analysis
Bandyk et al.
Arch Surg 1984;119:421-428.
ABSTRACT  

Arterial Spasm Complicating Distal Vascular Bypass Procedures
Samson et al.
Arch Surg 1982;117:973-975.
ABSTRACT  

Ultrasonic Imaging During Vascular Surgery
Sigel et al.
Arch Surg 1982;117:764-767.
ABSTRACT  

Intraoperative Arteriography in Femoropopliteal and Femorotibial Bypass Grafts
Liebman et al.
Arch Surg 1981;116:1019-1021.
ABSTRACT  

Intraoperative Prereconstruction Arteriography
Scarpato et al.
Arch Surg 1981;116:1053-1055.
ABSTRACT  

Results Following Arterial Embolectomy: A 12-Year Experience
Satiani et al.
VASC ENDOVASCULAR SURG 1978;12:359-365.
 

Management of Early Postoperative Complications of Arterial Repairs
Mulherin et al.
Arch Surg 1977;112:1371-1374.
ABSTRACT  

Detecting Complications of Direct Arterial Surgery: The Role of Intraoperative Arteriography
Courbier et al.
Arch Surg 1977;112:1115-1118.
ABSTRACT  

Routine Angiographic Follow-Up Examinations After Vascular Surgery
Olbert et al.
VASC ENDOVASCULAR SURG 1975;9:102-126.
 

Routine Intraoperative Angiography: An Essential Adjunct in Vascular Surgery
Dardik et al.
Arch Surg 1975;110:184-190.
ABSTRACT  

Angiographic Evaluation in Extracranial Vascular Occlusive Disease
Simmons et al.
Arch Surg 1973;107:785-790.
ABSTRACT  

Intraoperative Arteriography in Carotid Thromboendarterectomy
Rosental et al.
Arch Surg 1973;106:806-808.
ABSTRACT  

Vascular Surgery
JAMA 1972;222:1644-1645.
ABSTRACT