[The value of intraoperative arteriography in detecting complications of vascular surgery in the femoro-popliteal and crural region (author's transl)]

Langenbecks Arch Chir. 1981;354(2):89-100. doi: 10.1007/BF01271156.
[Article in German]

Abstract

The intraoperative angiography was employed in 307 vascular reconstructive procedures (thrombendarterectomies (TEA) n = 107 = 34.8%; Veinbypass (VBP) n = 145 = 47.2%; fabric grafts (KBP) n = 44 = 14.4%) within the femoro-popliteal and crural region. 11.7% unsuspected technical errors were detected (TEA 18.6%, VBP 8.2%; KBP:6.8%) by angiography and successfully revised prior to wound closure. Errors were most common after thrombendarterectomies followed by VBP and KBP. Revisions after immediate failures were performed successfully in 7.4% (TEA : 8.4%, VBP: 5.5%, KBP: 6.8%). Lesions on X-ray of questionable significance were accepted in 6.8%, and followed by 4 immediate occlusions (1.7%). In 3.6% of the angiogramms the film was not satisfactorily exposed from the technical point of view. We think intraoperative angiography is a valuable adjunct in peripheral vascular surgery helping to detect and correct technical errors.

MeSH terms

  • Angiography*
  • Arteriovenous Shunt, Surgical / methods*
  • Blood Vessel Prosthesis*
  • Endarterectomy / methods*
  • Femoral Artery / surgery
  • Humans
  • Intraoperative Complications / diagnostic imaging
  • Leg / blood supply
  • Popliteal Artery / surgery
  • Postoperative Complications / diagnostic imaging
  • Thrombosis / surgery*