Abstract
Preceding infrainguinal artery bypass surgery, a complete arteriographic delineation of the recipient artery is not always feasible. For 13 out of 63 patients with occlusion of the infrainguinal arteries, distinct delineation could not be accomplished with preoperative angiography. However, prebypass operative arteriography was successful in 8 of the 13. In 5, we performed bypass surgery on vessels not visualized on the preoperative angiography. In the other 3, bypass was performed on vessels in which the status of the distal circulation had not been well defined, although the popliteal and infrapopliteal arteries were partially visualized on the preoperative angiography. Intraoperative arteriograms—a technique requiring operative exploration of the target vessel—can significantly improve the visualization of the recipient artery and the distal circulation. Therefore, prebypass operative arteriography may become another indicator for arterial bypass surgery.
Similar content being viewed by others
References
Feins, R. H., Roedersheimer, L. R., Baumstark, A. E. and Green, R. M.: Predicted hyperemic angiography: A technique of distal arteriography in the severely ischemic leg. Surgery 89: 202–205, 1981.
Bernhard, V. M.: Intraoperative monitoring of femorotibial bypass grafts. Clin. North Am., 54: 77–84, 1974.
Blaisdell, F. W., Lim, R. and Hall, A. D.: Technical results of carotid endarterectomy; arteriographic assessment. Am. J. Surg. 114: 239–246, 1967.
Koontz, T. J. and Stansel, H. C. Jr.: Factors influencing patency of the autogenous vein-femoropopliteal bypass graft; An analysis of 74 cases. Surgery 71: 753–759, 1972.
Flanigan, D. P., Williams, L. R., Keifer, T., Schuler, J. J. and Behrend, A. J.: Prebypass operative arteriography. Surgery 93: 627–633, 1982.
Scarpato, R., Gembarowicz, R., Farber, S., O'Donnell, T. F. Jr., Kelly, J. J., Callow, A. D. and Deterling, R. A.: Intraoperative prereconstruction arteriography. Arch. Surg. 116: 1053–1055, 1981.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Esato, K., Ohara, M., Nakano, H. et al. Operative arteriography: An indicator for infrainguinal bypass. The Japanese Journal of Surgery 13, 502–505 (1983). https://doi.org/10.1007/BF02469493
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469493