Liebman P R, Menzoian J O, Mannick J A, Lowney B W, LoGerfo F W
Arch Surg. 1981 Aug;116(8):1019-21. doi: 10.1001/archsurg.1981.01380200029005.
We reviewed our experience with intraoperative arteriography following femoropopliteal and femorotibial reconstruction during a five-year period beginning in January 1975. During 171 of 250 procedures an intraoperative arteriogram was performed. In nine (5.2%) instances, a correctable abnormality was detected. These consisted of three cases of distal anastomotic stenoses, two cases of intimal flaps, three cases of poor inflow, and one case of clot. Intraoperative arteriography may reveal a correctable abnormality in 5% of femoropopliteal and femorotibial bypass grafts and thus prevent early graft failure. The false-positive rate was 0.06%. In our experience, routine intraoperative arteriography has been a safe, easy to perform, and effective method of assessing technical problems in femoropopliteal and femorotibial reconstruction.
我们回顾了1975年1月开始的五年间在股腘动脉和股胫动脉重建术中进行术中动脉造影的经验。在250例手术中的171例中进行了术中动脉造影。在9例(5.2%)中检测到可纠正的异常。这些包括3例远端吻合口狭窄、2例内膜瓣、3例流入道不佳和1例血栓形成。术中动脉造影可能在5%的股腘动脉和股胫动脉旁路移植术中发现可纠正的异常,从而预防早期移植失败。假阳性率为0.06%。根据我们的经验,常规术中动脉造影是评估股腘动脉和股胫动脉重建技术问题的一种安全、易于实施且有效的方法。