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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.
Objective:
to describe an intraoperative technique using a Fogarty balloon to treat arterial spasm following vascular bypass and endarterectomy.
Design:
prospective case control study.
Subjects And Treatment:
twenty-two patients following femorodistal bypass surgery and one patient following carotid endarterectomy, with arterial spasm in the distal run-off on completion angiography, were treated with Fogarty balloon dilatation.
Materials:
Fogarty balloon catheter (Baxtertrade mark).
Results:
twenty-three patients (100%) with arterial spasm were successfully treated by Fogarty balloon as demonstrated on completion angiography. No complications were seen.
Conclusion:
this simple technique removes vascular spasm rapidly and produces an excellent angiographic result.