Authors: Marks, Natalie A.; Ascher, Enrico; Hingorani, Anil; Schutzer, Richard

Source: Journal for Vascular Ultrasound, Volume 29, Number 4, December 2005 , pp. 191-193(3)

Publisher: Society for Vascular Ultrasound

Abstract:

Objective.—To assess whether the femoral artery entry site could cause early endograft limb occlusion complication, we prospectively evaluated the ipsilateral common femoral artery (CFA) with intraoperative duplex scans (IDS).

Methods.—Forty-seven patients underwent 41 abdominal aortic and 8 common iliac artery (CIA) aneurysms repair with endografts. All procedures were performed via open exposure of the CFA. All patients underwent IDS of the CFA and distal external iliac artery after repair of the arteriotomies.

Results.—Overall, there were 91 arteries assessed with IDS. Overall incidence of significant lesions requiring repair was 11 of 91 (12%). In 10 arteries (11%) we documented intimal flaps causing severe (>80%) stenoses that required repair. One more patient (1%) had no defects at the repair site, but low CFA peak systolic velocity with ratio 2:1 as compared with the contralateral CFA. Intraoperative abdominal duplex scan revealed a severe stenosis in the ipsilateral CIA that was not observed on the completion arteriogram. In addition, 13 (14%) nonsignificant flaps were visualized. No limb thromboses were noted in this group of patients on follow-up examinations.

Conclusions.—IDS is helpful in detecting clinically unsuspected technical defects of the CFA. Timely diagnosis and repair of these defects may improve early patency of endograft limbs.

Document Type: Research article

Publication date: 2005-12-01

More about this publication?

• The Journal for Vascular Ultrasound (JVU) is the official journal of the Society for Vascular Ultrasound. It consists of original scientific and educational articles, case studies, book reviews, technical reviews, ultrasound principle reviews, viewpoints, letters to the editor, and CME tests. Regular reading of JVU, published quarterly, will keep you current in your field and provide essential information that can be applied in your practice.
  
  Previously known as the Journal of Vascular Technology - View Volumes 16-26 here
• Editorial Board
• Information for Authors
• Subscribe to this Title
• Membership Information
• Information for Advertisers
• Reprints
• ingentaconnect is not responsible for the content or availability of external websites

Related content

• In this: publication
• By this: publisher
• In this Subject: Radiology & Imaging ,  Acoustics
• By this author: Marks, Natalie A. ;  Ascher, Enrico ;  Hingorani, Anil ;  Schutzer, Richard

Website © Publishing Technology. Article copyright remains with the publisher, society or author(s) as specified within the article.

• Terms and conditions
• Privacy policy
• Information for advertisers