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Fogarty balloon dilatation for intraoperative arterial spasm
1Department of Surgery, Guy's and St Thomas' NHS Trust, 1st Floor North Wing, Lambeth Palace Road, London, SE1 7EH, U.K.
Summary
This study presents a simple Fogarty balloon technique to effectively treat arterial spasm after vascular surgery. The method rapidly resolves spasm, leading to excellent angiographic results with no observed complications.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Arterial spasm is a complication following vascular bypass and endarterectomy.
- Effective intraoperative management of arterial spasm is crucial for successful surgical outcomes.
Purpose of the Study:
- To describe an intraoperative technique using a Fogarty balloon for treating arterial spasm.
- To evaluate the efficacy and safety of Fogarty balloon dilatation for post-procedural arterial spasm.
Main Methods:
- A prospective case-control study was conducted.
- Twenty-three patients (22 femorodistal bypass, 1 carotid endarterectomy) with distal run-off arterial spasm on completion angiography were treated.
- Treatment involved Fogarty balloon dilatation using a Fogarty balloon catheter.
Main Results:
- Fogarty balloon dilatation successfully treated arterial spasm in all 23 patients (100%).
- Successful treatment was confirmed by completion angiography.
- No complications were reported during or after the procedure.
Conclusions:
- The Fogarty balloon technique is a simple and rapid method for treating vascular spasm.
- This technique yields excellent angiographic results in patients experiencing arterial spasm post-vascular surgery.