Bowald S, Eriksson I, Fagerberg S
Acta Chir Scand. 1978;144(7-8):463-9.
Intraoperative angiography was performed in 136 cases of surgical reconstruction of the aorta, iliac, femoral and carotid arteries. In 39 cases pathological angiograms were found at operation, some of them quite unsupected. The most common pathological finding was non-occluding thrombosis, but intimal lesions caused by vessel clamps and incomplete endarterectomies were not uncommon. Immediate surgical reexploration and revision resulted in a high frequency of open reconstructions at follow-up, which was performed 1--24 months postoperatively. On the other hand, nonrevised reconstructions with pathological angiograms usually failed in the early postoperative period. In cases with normal intraoperative angiograms the result at follow-up was excellent. In addition to electromagnetic flow determination, intraoperative angiography is a most valuable adjunct in the assessment of vascular surgery during operation and should be used more frequently. All pathological findings in the angiograms must be seriously considered and lead to reexploration and revision.
对136例主动脉、髂动脉、股动脉和颈动脉手术重建患者进行了术中血管造影。39例在手术中发现病理性血管造影结果，其中一些非常出乎意料。最常见的病理发现是非闭塞性血栓形成，但血管夹引起的内膜病变和不完全动脉内膜切除术并不少见。立即进行手术再次探查和修复导致随访时开放重建的频率很高，随访在术后1至24个月进行。另一方面，有病理性血管造影结果但未进行修复的重建通常在术后早期失败。术中血管造影正常的病例随访结果良好。除了电磁流量测定外，术中血管造影是手术期间评估血管手术最有价值的辅助手段，应更频繁地使用。血管造影中的所有病理发现都必须认真考虑，并导致再次探查和修复。
