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[Intraoperative completion diagnostics in open vascular surgery].

J Zanow1, U Settmacher2, S Schüle2

  • 1Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland. juergen.zanow@med.uni-jena.de.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 19, 2020
PubMed
Summary
This summary is machine-generated.

Intraoperative imaging in vascular surgery enhances certainty and reduces complications, though evidence for specific procedures like carotid endarterectomy is limited. Its diagnostic advantage is crucial for reconstructing bypass and thromboembolic occlusions.

Keywords:
AngiographyBypassCarotid endarterectomyDuplex sonographyThromboembolectomy

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Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Medical Technology

Background:

  • Intraoperative imaging aims to improve diagnostic certainty and reduce complications during open vascular surgery.
  • Current evidence does not confirm improved perioperative outcomes for carotid endarterectomy or infrainguinal bypass surgery using these methods.

Purpose of the Study:

  • To evaluate the role and impact of intraoperative diagnostic imaging in open vascular surgical procedures.
  • To assess the evidence supporting the use of intraoperative imaging for specific vascular surgeries and outcomes.

Main Methods:

  • Review of diagnostic imaging procedures used during open vascular surgeries.
  • Analysis of evidence linking intraoperative imaging to perioperative outcomes in carotid endarterectomy and infrainguinal bypass surgery.

Main Results:

  • Evidence for improved perioperative outcomes with intraoperative imaging is not confirmed for carotid endarterectomy or infrainguinal bypass surgery.
  • Intraoperative diagnostic control is generally recommended despite limited specific evidence.

Conclusions:

  • The diagnostic advantage of intraoperative imaging is confirmed and essential for reconstructing bypass occlusions and acute thromboembolic occlusions.
  • While not universally proven for all procedures, intraoperative imaging remains a valuable tool in specific vascular reconstructions.