James M. Seeger, M.D., George S. Abela, M.D.

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Presentation transcript:

Angioscopy as an adjunct to arterial reconstructive surgery: A preliminary report James M. Seeger, M.D., George S. Abela, M.D. Journal of Vascular Surgery Volume 4, Issue 4, Pages 315-320 (October 1986) DOI: 10.1016/0741-5214(86)90222-3 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1A Angioscopic view of thrombus totally occluding a superficial femoral artery. Thrombus was characteristically smooth, glistening, and reddish brown. Journal of Vascular Surgery 1986 4, 315-320DOI: (10.1016/0741-5214(86)90222-3) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1B Angioscopic view of an atherosclerotic occlusion of a popliteal artery. The atherosclerotic occlusion is irregular, lobulated, and yellowish. It is easily differentiated from the thrombotic occlusion. Journal of Vascular Surgery 1986 4, 315-320DOI: (10.1016/0741-5214(86)90222-3) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2A Angioscopic view of intimal flap; these were common in areas of atherosclerosis. Journal of Vascular Surgery 1986 4, 315-320DOI: (10.1016/0741-5214(86)90222-3) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2B Filamentous web is partially occluding an artery; these also were common although their cause is unclear. Journal of Vascular Surgery 1986 4, 315-320DOI: (10.1016/0741-5214(86)90222-3) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3A Angioscopic view of an atherosclerotic occlusion of a superficial femoral artery and the laser fiber positioned at the occlusion before laser angioplasty. The metal tip of the fiber is in the left lower quadrant of the picture. Journal of Vascular Surgery 1986 4, 315-320DOI: (10.1016/0741-5214(86)90222-3) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3B Lased channel through an atherosclerotic occlusion. The typical charring of laser vaporization is seen as a brownish rim around the opening. Journal of Vascular Surgery 1986 4, 315-320DOI: (10.1016/0741-5214(86)90222-3) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions