Angioscopically directed interventions improve arm vein bypass grafts

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Presentation transcript:

Angioscopically directed interventions improve arm vein bypass grafts Edward J. Marcaccio, MD, Arnold Miller, MBChB, Gary A. Tannenbaum, MD, Phillip T. Lavin, PhD., Gary W. Gibbons, MD, Frank B. Pomposelli, MD, Dorothy V. Freeman, MD, David R. Campbell, MD, Frank W. LoGerfo, MD Journal of Vascular Surgery Volume 17, Issue 6, Pages 994-1004 (June 1993) DOI: 10.1016/0741-5214(93)90669-D Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Technique of retrograde in situ arm vein inspection. Small incision to exposes distal forearm cephalic vein. Angioscope is inserted through irrigation sheath and systematic inspection of upper arm cephalic and basilic and forearm cephalic veins is performed. All segmental intraluminal disease is noted and vein harvest is planned accordingly. Journal of Vascular Surgery 1993 17, 994-1004DOI: (10.1016/0741-5214(93)90669-D) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Incidence and distribution of segmental disease detected with angioscopic preparation and monitoring of 113 arm veins harvested for infrainguinal bypass conduits. Journal of Vascular Surgery 1993 17, 994-1004DOI: (10.1016/0741-5214(93)90669-D) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Comparison of primary graft patency for 109 infrainguinal arm vein bypass grafts as determined by life tables with comparisons of “normal” versus “upgraded” versus “inferor” quality arm vein grafts. Journal of Vascular Surgery 1993 17, 994-1004DOI: (10.1016/0741-5214(93)90669-D) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions