7 Mehigan JT, Olcott C. Video angioscopy as an alternative to intraoperative arteriography. AmJ Surg 1986; 152: 139-45. 8 Miller A, Stonebridge PA, Tsoukas Al ...
Annals of the Royal College of Surgeons of England (1993) vol. 75, 178-180
Preliminary experience of angioscopy in femorodistal bypass A H Davies
MA
FRCS1'2
Research Fellow
T R Magee FRCS"'2 Research Fellow
J F Thompson
MS FRCS1
Lecturer
P M Lamont MD FRCS1 Consultant Surgeon
R N Baird ChM FRCS1 Consultant Surgeon M Horrocks MS Professor of Surgery
FRCS2
Zs Varga
MD1 Research Fellow
Departments of Vascular Surgery, 'Bristol Royal Infirmary, Bristol and 2Royal United Hospital, Bath
Key words: Angioscopy; Femorodistal bypass
During femorodistal bypass angioscopy can be used in vein graft preparation allowing valve lysis and the identification of tributaries under direct vision. A total of 30 patients have undergone angioscopic assisted femorodistal bypass using either an Olympus® or Stortz® system. Nineteen patients have undergone fuli vein mobilisation and valve lysis under direct vision. Eleven patients had in situ bypass with ligation of tributaries, identified by the angioscope, through smali stab incisions. No evidence of fistula or retained valve cusps was found by subsequent duplex scanning and arteriography. One of these grafts failed at 6 days due to an unrecognised outflow stenosis. The mean hospital stay after operation for this latter group of patients was 5.2 days (range 4.4-6.0 days) compared with 9.5 days (8.6-10.3 days) in a historical group of 30 patients (P
