Digital Fluoroscopy as a Valuable Adjunct to Open Vascular Operations

Evan C. Lipsitz, Frank J. Veith, Reese A. Wain

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The increasing availability of and vascular surgeons' familiarity with digital cine-fluoroscopy in the operating room has been facilitated by the advent and growing popularity of endovascular aortoiliac aneurysm repair and other endovascular techniques that are being incorporated into vascular surgical practice. Digital cine-fluoroscopy can also be used as a valuable adjunct to standard open vascular procedures in several ways including: performance of completion angiography, fluoroscopically-assisted thromboembolectomy, intraoperative planning angiography, fluoroscopically-guided pressure gradient measurements, achieving vascular control of proximal arteries, intraoperative thrombolysis of compromised outflow tracts, and angioplasty and stenting of lesions detected intraoperatively. These techniques can improve the outcome of standard vascular procedures by permitting the identification of inflow, outflow, conduit, and anastomotic defects intraoperatively and guiding their repair. Additionally, in many cases they can reduce the amount of exposure required, reduce intraoperative blood loss, and minimize trauma to vessels during thrombectomy. Fluoroscopic guidance can facilitate and improve these and other aspects of standard open vascular procedures. Conversely, the ability to perform open interventions can facilitate the performance of many endovascular interventions. It is becoming increasingly important to be facile with both open and fluoroscopically guided techniques in order to fully treat the spectrum of vascular disease in an optimum fashion.

Original languageEnglish (US)
Pages (from-to)280-290
Number of pages11
JournalSeminars in Vascular Surgery
Volume16
Issue number4
DOIs
StatePublished - Dec 2003

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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