The value of pre-operative ultrasound mapping of the greater saphenous vein prior to 'closed' in situ bypass operations

European Journal of Radiology
L C van DijkH van Urk

Abstract

The aim of this study was to test pre-operative ultrasound mapping for the detection of duplications and narrow vein segments of the greater saphenous vein (GSV) used as bypass for occlusive arterial disease surgery. In 44 patients pre-operative ultrasound findings of duplications and lumen assessment of GSV were compared to the per-operative findings. In nine patients (20%) the pre-operative ultrasound examination showed a duplication. Pre-operative ultrasound had missed a duplication in two cases but had instead shown a narrow segment in both. The pre-operative ultrasound assessment of lumen diameter showed a narrow lumen segment in 10 of the 44 patients. In one patient a per-operatively narrow lumen had not been seen on pre-operative ultrasound. Pre-operative ultrasound mapping of the GSV is a sensitive tool for detection of duplications and narrow vein segments. Since these anatomical variations provide important information for the vascular surgeon, before performing a 'closed' in situ bypass operation, pre-operative vein mapping should be considered when planning such a procedure.

References

Mar 1, 1989·The British Journal of Surgery·P W LeopoldR P Leather
Aug 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L C van DijkC H Wittens
May 1, 1994·Journal of Vascular Surgery·D F CikritB Solooki
Mar 1, 1994·European Journal of Vascular Surgery·C H WittensH van Urk

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Citations

May 28, 2005·The Annals of Thoracic Surgery·Joseph D Cohn, Keith F Korver
Nov 19, 2011·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Michael KockaertMartino Neumann
Mar 28, 2006·The Annals of Thoracic Surgery·Joseph D Cohn, Keith F Korver
Aug 4, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A Caggiati, E Mendoza
Feb 7, 2001·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·A Caggiati, S Ricci
Jan 26, 2012·Integrated Environmental Assessment and Management·Charles A MenzieTed Wickwire

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