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Doppler techniques for intraoperative arterial assessment

  • R. Eugene Zierler
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 96)

Abstract

The results of arterial reconstructive surgery are determined by patient selection and operative technique. Although technical errors are uncommon, they are often responsible for perioperative complications such as occlusion of bypass grafts and stroke after carotid endarterectomy [1–3]. Avoiding these problems requires that the technical result be assessed at the conclusion of the procedure. Simple observation and palpation of the vessels are not adequate, since defects within the lumen rarely affect the external surface and a transmitted pulse may be present in an occluded artery. Therefore, objective methods must be used to assess the surgical result and facilitate immediate correction of technical errors.

Keywords

Carotid Endarterectomy Doppler Signal Technical Error Doppler Method Saphenous Vein Bypass Graft 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    LiCalzi LK, Stansel HC: Failure of autogenous reversed saphenous vein femoropopliteal grafing — Pathophysiology and prevention. Surgery 91: 352–358, 1982.PubMedGoogle Scholar
  2. 2.
    Collins GJ, Rieh NM, Anderson CA, et al.: Stroke associated with carotid endarterectomy. Am J Surg 135: 221–225, 1978.PubMedCrossRefGoogle Scholar
  3. 3.
    Towne JB, Bernhard VM: Neurologic deficit following carotid endarterectomy. Surg Gynecol Obstet 154: 849–852, 1982.PubMedGoogle Scholar
  4. 4.
    Zierler RE: Intraoperative Doppler techniques for arterial evaluation. Seminars in Ultrasound 6: 73–84, 1985.Google Scholar
  5. 5.
    Zierler RE, Bandyk DF, Thiele BL: Intraoperative assessment of carotid endarterectomy. J Vase Surg 1:73–83, 1984.CrossRefGoogle Scholar
  6. 6.
    Baker DW: Pulsed ultrasonic Doppler blood flow sensing. IEEE Trans Sonics Ultrasonics 17:170–173, 1970.Google Scholar
  7. 7.
    Barnes RW, Garrett WV: Intraoperative assessment of arterial reconstruction by Doppler ultrasound. Surg Gynecol Obstet 146: 896–900, 1978.PubMedGoogle Scholar
  8. 8.
    Zierler RE, Roederer GO, Strandness DE: The use of frequency spectral analysis in carotid artery surgery. In Bergan JJ, Yao JST (eds.): Cerebrovascular Insufficiency. Orlando, Grune and Stratton, Inc., pp. 137–163, 1983.Google Scholar
  9. 9.
    Johnston KW, Marozzo BC, Cobbold RSC: Errors and artifacts of Doppler flowmeters and their solution. Arch Surg 112: 1335–1342, 1977.PubMedGoogle Scholar
  10. 10.
    Keitzer WF, Lichti EL, Brossart FA, et al.: Use of the Doppler ultrasonic flowmeter during arterial vascular surgery. Arch Surg 105: 308–312, 1972.PubMedGoogle Scholar
  11. 11.
    Spencer TD, Goldman MH, Hyslop JW et al.: Intraoperative assessment of in situ saphenous vein bypass grafts with continuous-wave Doppler probe. Surgery 96: 874–876, 1984.PubMedGoogle Scholar
  12. 12.
    Bandyk DF, Jorgensen RA, Town JB: Intraoperative assessment of in situ saphenous vein arterial grafts using pulsed Doppler spectral analysis. Arch Surg 121: 292–299, 1986.PubMedGoogle Scholar
  13. 13.
    Bandyk DF, Zierler RE, Thiele BL: Detection of technical error during arterial surgery by pulsed Doppler spectral analysis. Arch Surg 119:421–428, 1984.PubMedGoogle Scholar
  14. 14.
    Bandyk DF, Cato RF, Towne JB: A low flow velocity predicts failure of femoropopliteal and femorotibial bypass grafts.f Surgery 98: 799–809, 1985.Google Scholar
  15. 15.
    Seifert KB, Blackshear WM: Continuous-wave Doppler in the intraoperative assessment of carotid endarterectomy. J Vase Surg 2: 817–820, 1985.Google Scholar

Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • R. Eugene Zierler

There are no affiliations available

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