Intraoperative prereconstruction arteriography
R. Scarpato, R. Gembarowicz, S. Farber, T. F. O'Donnell Jr, J. J. Kelly, A. D. Callow and R. A. Deterling
Intraoperative arteriography was performed in 57 patients undergoing
arterial reconstructive surgery of the lower extremity prior to selection
of the site for the distal anastomosis. In 42 patients (74%), this
procedure proved to be of significant benefit. Prereconstructive
intraoperative arteriography influenced surgery for seven patients in the
following ways: (1) two patients had visualization of vessels not
demonstrated on the preoperative arteriogram; and (2) five patients had
demonstration of occlusive disease that favored selection of a more distal
site of anastomosis. In the remaining 35 patients, the tibial vessels and
arch were visualized more clearly, so that the degree and extent of disease
were better appreciated. This may have important prognostic significance.
On postreconstructive arteriography, an additional five patients were shown
to have an anastomotic defect that was corrected in the operating room.
Intraoperative arteriography is a rapid, safe, and simple procedure that
should be considered as an adjunct in reconstructive surgery of the lower
extremity.
