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Optimizing technical success of renal revascularization: The impact of intraoperative color-flow duplex ultrasonography  Matthew J. Dougherty, MD, John.

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Presentation on theme: "Optimizing technical success of renal revascularization: The impact of intraoperative color-flow duplex ultrasonography  Matthew J. Dougherty, MD, John."— Presentation transcript:

1 Optimizing technical success of renal revascularization: The impact of intraoperative color-flow duplex ultrasonography  Matthew J. Dougherty, MD, John W. Hallett, MD, James M. Naessens, MPH, Thomas C. Bower, MD, Kenneth J. Cherry, MD, Peter Gloviczki, MD, E.Meridith James, MD  Journal of Vascular Surgery  Volume 17, Issue 5, Pages (May 1993) DOI: / (93)90034-J Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 A, Intraoperative color-flow duplex ultrasonography of high-grade proximal left renal artery stenosis with peak systolic velocity of 5 m/sec, spectral broadening, and peak diastolic velocity of 3.0 m/sec. B, Same left renal artery after endarterectomy with widely patent lumen and normal velocity pattern including excellent diastolic flow. Journal of Vascular Surgery  , DOI: ( / (93)90034-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Types of major anatomic problems detected after bypass grafting or transaortic renal endarterectomy. Journal of Vascular Surgery  , DOI: ( / (93)90034-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 A, Proximal left renal artery (ra) intimal flap (arrow) after transaortic (Ao) endarterectomy. B, Dampened spectral pattern in distal renal artery associated with proximal intimal flap. Peak systolic velocity of only 0.20 m/sec and minimal diastolic flow. Journal of Vascular Surgery  , DOI: ( / (93)90034-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 A, Widely patent proximal left renal artery in patient (Fig. 3) after correction of proximal intimal flap. B, Note improved peak systolic velocity (0.6 m/sec) with better diastolic flow. Journal of Vascular Surgery  , DOI: ( / (93)90034-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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