This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (26)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Bernard Sigel, MD; Julio C. U. Coelho, MD; D. Preston Flanigan, MD; James J. Schuler, MD; Dimitrios G. Spigos, MD

Arch Surg. 1982;117(6):764-767.

Abstract
• Real-time B-mode ultrasound scanning was used during arterial reconstruction surgery to supplement the information of preoperative arteriography and to detect vascular defects immediately after restoration of blood flow. At 55 operations, 100 sites were examined. At three operations, ultrasound provided new information that, in two patients, directly affected the choice of operation. Intraoperative postreconstruction scanning detected vascular defects in over 20% of the patients. Intimai flaps were the commonest defects observed. In most instances in which defects were seen, the vessels were not reentered because the defects were considered to be too small or located in a nonstrategic site or both. One relatively large intimai flap in a common carotid artery prompted reentry. Ultrasound during vascular operations proved to be a highly sensitive diagnostic tool to supplement preoperative arteriography and to detect vascular defects resulting from reconstructive surgery.

(Arch Surg 1982;117:764-767)

Author Affiliations
From the Departments of Surgery (Drs Sigel, Coelho, Flanigan, and Schuler and Radiology (Dr Spigos), University of Illinois Medical Center, Abraham Lincoln School of Medicine, Chicago.

Footnotes
Accepted for publication July 2, 1981.

Reprint requests to Department of Surgery, University of Illinois Medical Center, PO Box 6998, Chicago, IL 60680 (Dr Sigel).

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