Fleisher H L, Thompson B W, McCowan T C, Ferris E J, Baker M L, Robbins K V, Barnes R W
J Vasc Surg. 1986 Oct;4(4):360-4.
Angioscopy was used during in situ saphenous vein bypass grafting in seven patients. We were able to visualize valve incision, immediately identify and correct incomplete valvulotomy, identify side branches as potential arteriovenous fistulas, and assess distal anastomotic integrity. We encountered no retained valve cusps after angioscopy, as verified by Doppler ultrasound and completion angiography. Angioscopy verified distal anastomotic integrity in all patients with distal vein grafts large enough to accept the angioscope. Angioscopy requires minimal time, is relatively easy to use, serves as an adjunct to Doppler ultrasound and completion angiography, and has future potential as a therapeutic tool.
七名患者在原位大隐静脉搭桥术中使用了血管内镜检查。我们能够观察瓣膜切开情况，立即识别并纠正不完全瓣膜切开术，将侧支血管识别为潜在的动静脉瘘，并评估远端吻合口的完整性。经多普勒超声和血管造影证实，血管内镜检查后未发现残留的瓣膜叶。血管内镜检查证实，所有远端静脉移植物足够大以容纳血管内镜的患者，其远端吻合口均完整。血管内镜检查所需时间最短，相对易于使用，可作为多普勒超声和血管造影的辅助手段，并且未来有作为治疗工具的潜力。
