femorodistal bypass - Europe PMC

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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