Ultrasonic imaging during vascular surgery

Archives of Surgery
B SigelD G Spigos


Real-time B-mode ultrasound scanning was used during arterial reconstruction surgery to supplement the information of preoperative arteriography and to detect vascular defects immediately after restoration of blood flow. At 55 operations, 100 sites were examined. At three operations, ultrasound provided new information that, in two patients, directly affected the choice of operation. Intraoperative postreconstruction scanning detected vascular defects in over 20% of the patients. Intimal flaps were the commonest defects observed. In most instances in which defects were seen, the vessels were not reentered because the defects were considered to be too small or located in a nonstrategic site or both. One relatively large intimal flap in a common carotid artery prompted reentry. Ultrasound during vascular operations proved to be a highly sensitive diagnostic tool to supplement preoperative arteriography and to detect vascular defects resulting from reconstructive surgery.


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Oct 1, 1987·World Journal of Surgery·M S Rosenbloom, D P Flanigan
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Dec 1, 1986·Ultrasound in Medicine & Biology·R W Barnes
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Oct 1, 1991·European Journal of Vascular Surgery·W SteinkeW Sandmann
Jun 1, 1987·American Journal of Surgery·S S Hans
May 1, 1985·Journal of Vascular Surgery·J J RicottaJ A DeWeese
Jul 15, 1997·The Journal of Surgical Research·M E BrezinskiJ G Fujimoto
Jul 1, 1997·The Australian and New Zealand Journal of Surgery·A I MargovskyA J Chambers
Aug 1, 1985·The Australian and New Zealand Journal of Surgery·N AckroydM Appleberg

Related Concepts

External Carotid Artery Structure
Internal Carotid Artery Structure
Injuries, Surgical
Tomography, Ultrasonic
Vascular Diseases
Vascular Surgical Procedures

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