Lower extremity revascularization based on intraoperative arteriography.
The traditional approach to patients with lower extremity ischemia involves "diagnostic" arteriography performed in a radiology angiography suite prior to a separate revascularization in an operating room suite. This time-honored and staged approach has the disadvantage of an associated significant angiographic complication rate. Furthermore, in view of the accuracy of noninvasive testing and the capacity for intraoperative arteriography, this separation of diagnostic and reparative techniques may be outdated and cost-ineffective. A combination of the two in a modern operating room is a more logical approach.
Queral
Luis A
LA
Section of Vascular Surgery, Mercy Medical Center, Baltimore, MD 21202, USA. lqueral@vassurg.com
Lucas
Paul R
PR
Badder
Elliott M
EM
Wilkerson
Richard J
RJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D007432:Intraoperative Period; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D035002:Lower Extremity / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D011237:Predictive Value of Tests; D012039:Regional Blood Flow; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014656:Vascular Surgical Procedures