BIOMAT Database Logo BIOMAT Database Logo

Angioscopy for intraoperative management of thromboembolectomy. 1990

J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048.

Our experience with angioscopy suggests that direct visualization of the arterial lumen during thromboembolectomy procedures would provide a more reliable method of assessing luminal morphologic characteristics than angiography alone. We inspected 32 grafts (seven aortobifemoral, 18 infrainguinal bypass, and seven dialysis access fistula grafts) in 32 patients. Thirty-one patients had thrombotic events and one patient had an acute embolus. Angioscopy following standard catheter thrombectomy revealed significant amounts of retained thrombus or neointima in all thrombectomies. Angioscopic information from 18 patients with an infrainguinal bypass graft led to graft revision in six cases and placement of a new graft in 10 cases. One graft limb was replaced in seven aortobifemoral grafts, and multiple repeated thrombectomies were employed to extract debris in the remaining six cases. Repeated graft thrombectomy was also beneficial in dialysis access fistulas. Angioscopy allowed us to omit the completion angiogram and led to an improved technical result. We conclude that angioscopy is useful during thromboembolectomy procedures.

UI MeSH Term Description Entries
D007430 Intraoperative Care Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests. Care, Intraoperative
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011150 Popliteal Artery The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries. Arteria Poplitea,Artery, Popliteal,Popliteal Arteries
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D004617 Embolism Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream. Embolus,Embolisms
D004724 Endoscopy Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body. Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005260 Female Females
D005263 Femoral Artery The main artery of the thigh, a continuation of the external iliac artery. Common Femoral Artery,Arteries, Common Femoral,Arteries, Femoral,Artery, Common Femoral,Artery, Femoral,Common Femoral Arteries,Femoral Arteries,Femoral Arteries, Common,Femoral Artery, Common
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup

Related Publications

J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
[Intraoperative angioscopy].
January 1992, Przeglad lekarski,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Intraoperative angioscopy for coronary bypass surgery.
May 1995, Journal of cardiac surgery,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Intraoperative angioscopy after carotid endarterectomy.
January 1993, Journal des maladies vasculaires,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
[Practical value of intraoperative arterial angioscopy].
January 1991, Polski tygodnik lekarski (Warsaw, Poland : 1960),
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Angioscopy management.
January 1994, The British journal of theatre nursing : NATNews : the official journal of the National Association of Theatre Nurses,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Value of angioscopy for intraoperative assessment of carotid endarterectomy.
January 1995, Annals of vascular surgery,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Intraoperative fibrinolytic therapy: an adjunct to catheter thromboembolectomy.
March 1985, Journal of vascular surgery,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Intraoperative digital subtraction angiography after thromboembolectomy: preliminary experience.
May 1995, Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery,
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
Intraoperative fluorescein angioscopy in subretinal surgery.
November 1992, Archives of ophthalmology (Chicago, Ill. : 1960),
J Segalowitz, and W S Grundfest, and R L Treiman, and W H Wagner, and R M Carroll, and R F Foran, and P M Levin, and J L Cohen, and D V Cossman, and W Gradman
[Intraoperative angioscopy in vascular reconstructive surgery].
January 1998, Vestnik Rossiiskoi akademii meditsinskikh nauk,
Copied contents to your clipboard!