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Between January 1988 and December 1990, 56 patients underwent 66 arm vein infrainguinal bypass grafts for limb salvage. Thirty-nine grafts were intraoperatively monitored by the standard methods of continuous wave Doppler alone (30) and arteriography (9). Twenty-seven grafts were prepared and monitored by intraoperative angioscopy. No significant findings requiring intraoperative revision or correction were noted in the grafts monitored by the standard methods. However, in those grafts prepared and monitored by angioscopy, intraluminal abnormalities of the arm veins were detected and corrected in 20/27 (74%). None of the grafts prepared or monitored by angioscopy occluded within 30 days, whereas, in those grafts monitored by continuous wave Doppler and arteriography, 7/39 failed within 30 days, a primary patency rate of 32/39 (82%) (x2 with yates correction, p = 0.055). This study shows that angioscopic preparation and monitoring of arm vein bypass grafts allows the detection and correction of unsuspected intraluminal abnormalities, which appears to improve the early primary patency of arm vein infrainguinal bypass grafts.
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
December 1992,
Lakartidningen,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
April 1993,
Journal of the American College of Cardiology,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
January 2009,
Journal of vascular surgery,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
May 1999,
Annals of vascular surgery,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
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F B Pomposelli, and
D R Campbell, and
F W LoGerfo
January 1994,
Annals of vascular surgery,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
February 1998,
Cardiovascular surgery (London, England),
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
January 2006,
Cardiovascular and interventional radiology,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
December 2001,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
P A Stonebridge, and
A Miller, and
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C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
June 1993,
Journal of vascular surgery,
P A Stonebridge, and
A Miller, and
A Tsoukas, and
C M Brophy, and
G W Gibbons, and
D V Freeman, and
F B Pomposelli, and
D R Campbell, and
F W LoGerfo
January 2001,
Vascular surgery,
