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Intraoperative transcutaneous oxygen tension criteria for completion arteriography

  • Original Articles
  • Published:
Annals of Vascular Surgery

Abstract

During the past three years, we studied the value of transcutaneous oxygen monitoring in 28 lower extremity vascular bypass procedures. In 21 reconstructions, a rapid rise in the transcutaneous oxygen tension following reperfusion was indicative of a patent graft and patent runoff vessels. Inadequate revascularization was identified in three of four patients in whom transcutaneous oxygen tension failed to rise following femorodistal arterial bypass (positive predictive value 75%). A normal intraoperative transcutaneous oxygen tension study following femorodistal bypass had a negative predictive value of 95%. The overall accuracy was 91%. Transcutaneous oxygen tension monitoring during lower extremity vascular bypass procedures is useful in assessing the success of revascularization and may be used to select which patients should undergo completion arteriography as opposed to those in whom an arteriogram is not essential.

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Authors and Affiliations

  1. From the Department of Surgery, Robert Wood Johnson Medical School at Camden-UMDNJ, Cooper Hospital University Medical Center, Camden, New Jersey

    James B. Alexander MD, Mark J. Pello MD, Richard K. Spence MD & Rudolph C. Camishion MD

Authors
  1. James B. Alexander MD
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  2. Mark J. Pello MD
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  3. Richard K. Spence MD
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  4. Rudolph C. Camishion MD
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Alexander, J.B., Pello, M.J., Spence, R.K. et al. Intraoperative transcutaneous oxygen tension criteria for completion arteriography. Annals of Vascular Surgery 4, 333–337 (1990). https://doi.org/10.1007/BF02000495

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