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Published byDiego Medina Modified over 5 years ago
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Operative angiography by intraarterial digital subtraction angiography: A new technique for quality control of carotid endarterectomy Carl E. Bredenberg, MD, Mark Iannettoni, MD, Mark Rosenbloom, MD, Charles J. Hodge, MD, Gary K. Litvin, LRT, John C. Aust, MD, Edwin Cacayorin, MD Journal of Vascular Surgery Volume 9, Issue 4, Pages (April 1989) DOI: / (89) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 1 Schematic diagram shows C-arm in position with patient on radiolucent table. Arrow indicates potential rotation of C-arm to obtain varying obliquities of projection. C-arm requires power source and is connected in the operating room to mobile DSA unit (IDIS). Journal of Vascular Surgery 1989 9, DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 2 Pediatric butterfly needle, three-way stopcock, and two glass syringes for injection. The syringe is held vertically while the injection is given (see text). Journal of Vascular Surgery 1989 9, DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 3 Left, Completion operative DSA illustrates stenosis at distal end of arteriotomy as a result of a suture (arrow). Right, Operative completion DSA in same patient after revision by patch angioplasty. Also illustrated (lower arrow) is the “shelf” at the proximal end of the endarterectomy from the diffusely thickened atherosclerotic wall of the common carotid artery. Journal of Vascular Surgery 1989 9, DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 4 Left, Operative DSA illustrates stenosis at distal end of endarterectomy as a result of platelet thrombus (arrow). Right, Repeat operative DSA in same patient after removal of platelet thrombus and revision with patch angioplasty. Journal of Vascular Surgery 1989 9, DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 5 Operative DSA illustrates what were thought to be insignificant irregularities along internal carotid suture line (arrow, both sides of internal carotid). Intravenous DSA 3 weeks after operation shows occlusion of internal carotid artery at its origin. Journal of Vascular Surgery 1989 9, DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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