Intraoperative assessment of in situ saphenous vein bypass grafts with continuous-wave Doppler probe.

Abstract:

:A 5 MHz continuous-wave Doppler probe was used intraoperatively to evaluate 25 in situ saphenous vein bypass grafts. At least one arteriovenous fistula per case and five retained competent posterior valvular leaflets were identified before completion angiography. The Doppler was able to distinguish a retained valve from an arteriovenous fistula on clinical grounds but not by waveform analysis. Intraoperative assessment of in situ saphenous vein bypass grafts with the continuous-wave Doppler can identify retained valves that might be missed by angiography. It can reduce the number of angiograms needed to demonstrate a technically perfect result, thus saving operative time and contrast agent load to the patient.

journal_name

Surgery

journal_title

Surgery

authors

Spencer TD,Goldman MH,Hyslop JW,Lee HM,Barnes RW

subject

Has Abstract

pub_date

1984-11-01 00:00:00

pages

874-7

issue

5

eissn

0039-6060

issn

1532-7361

journal_volume

96

pub_type

杂志文章

相关文献

SURGERY文献大全
  • Intestinal mucosal permeability to 51Cr-ethylenediaminetetraacetic acid is increased after bilateral lower extremity ischemia-reperfusion in the rat.

    abstract:BACKGROUND:Despite successful revascularization of ischemic extremities, multiorgan dysfunction syndrome develops in some patients. Mechanisms responsible for this are not known; however, the gastrointestinal tract has been implicated as a possible mediator. Our objective was to demonstrate increased intestinal mucosal...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80076-6

    authors: Willoughby RP,Harris KA,Carson MW,Martin CM,Troster M,DeRose G,Jamieson WG,Potter RF

    更新日期:1996-09-01 00:00:00

  • Optimal methods of aortoiliac reconstruction.

    abstract::Alternate methods of aortic reconstruction for aortoiliac occlusive disease were reviewed in one author's (R.C.D.) personal series of 582 patients (1,105 limbs) during the 15 year period from 1963 to 1977. To illustrate certain trends, separate analysis was done for periods 1963 to 1969 (interval I) and 1970 to 1977 (...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Brewster DC,Darling RC

    更新日期:1978-12-01 00:00:00

  • Effects of endotoxin on regulation of intestinal smooth muscle nitric oxide synthase and intestinal transit.

    abstract:BACKGROUND:The disrupted intestinal transit during endotoxemia may be mediated by nitric oxide (NO). We hypothesized that the isoforms of nitric oxide synthase (NOS) are up-regulated in intestinal smooth muscle during endotoxemia and that the scavenging of NO will normalize transit. METHODS:Rats were given Escherichia...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Cullen JJ,Mercer D,Hinkhouse M,Ephgrave KS,Conklin JL

    更新日期:1999-03-01 00:00:00

  • Dorsal duct sphincterotomy is effective long-term treatment of acute pancreatitis associated with pancreas divisum.

    abstract::Nonbiliary, nonalcoholic pancreatic inflammatory disease was investigated by biochemical investigation, ultrasonography, endoscopic retrograde cholangiopancreatography, and secretin tests. Twenty-five consecutive cases were followed up for 12 months to 10 years after treatment of disease associated with pancreas divis...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Keith RG,Shapero TF,Saibil FG,Moore TL

    更新日期:1989-10-01 00:00:00

  • Statins attenuate sepsis.

    abstract:HYPOTHESIS:If (1) 3-hydroxy-3-methylglutaryl-coenzyme reductase inhibitors (statins) block the rate-limiting step in cholesterol synthesis and promote the expression of low-density lipoprotein receptors, (2) "Gram-negative sepsis" results from an abundant systemic response to bacterial lipopolysaccharide (endotoxin), (...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2005.08.029

    authors: Spitzer AL,Harris HW

    更新日期:2006-03-01 00:00:00

  • Thyroid carcinoma invading the cervicovisceral axis: routes of invasion and clinical implications.

    abstract:BACKGROUND:Controversy exists about the routes of invasion (extrathyroidal versus lymphogenic extension) when differentiated carcinoma (DTC) and medullary thyroid carcinoma (MTC) invade the cervicovisceral axis (ie, larynx, trachea, esophagus). METHODS:We carried out an institutional analysis, from November 1994 to Oc...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2001.108699

    authors: Machens A,Hinze R,Lautenschläger C,Thomusch O,Dralle H

    更新日期:2001-01-01 00:00:00

  • Hepatic resection for hepatocellular carcinoma.

    abstract::Between July 1973 and September 1988, 119 patients with hepatocellular carcinoma underwent hepatic resection at Keio University Hospital, Tokyo. Hepatic resection was performed not only for patients with liver cirrhosis and obstructive jaundice but also for patients with advanced disease. Eighty (67.2%) of the 119 pat...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Tsuzuki T,Sugioka A,Ueda M,Iida S,Kanai T,Yoshii H,Nakayasu K

    更新日期:1990-05-01 00:00:00

  • Activated clotting time of thrombelastography (T-ACT) predicts early postinjury blood component transfusion beyond plasma.

    abstract:INTRODUCTION:Rapid thrombelastography (rTEG) has been advocated as a point-of-care test to manage trauma-induced coagulopathy. rTEG activated clotting time (T-ACT) results become available much sooner than other rTEG values, thus offering an attractive tool to guide blood component transfusion in a hemorrhagic shock. W...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2014.04.017

    authors: Moore HB,Moore EE,Chin TL,Gonzalez E,Chapman MP,Walker CB,Sauaia A,Banerjee A

    更新日期:2014-09-01 00:00:00

  • New directions in simulation-based surgical education and training: validation and transfer of surgical skills, use of nonsurgeons as faculty, use of simulation to screen and select surgery residents, and long-term follow-up of learners.

    abstract::The Consortium of American College of Surgeons-Accredited Education Institutes was created to explore new opportunities in simulation-based surgical education and training beyond the scope of individual accredited institutes. During the Third Annual Meeting of the Consortium of American College of Surgeons-Accredited ...

    journal_title:Surgery

    pub_type:

    doi:10.1016/j.surg.2010.11.010

    authors: Scott DJ,Pugh CM,Ritter EM,Jacobs LM,Pellegrini CA,Sachdeva AK

    更新日期:2011-06-01 00:00:00

  • Utility of thyroid aspiration biopsy.

    abstract::The utility of fine-needle aspiration biopsy to detect carcinoma in thyroid nodules was evaluated by a decision-analysis approach in 102 patients. The procedure caused no morbidity. Cytologic diagnoses were categorized as unsatisfactory (4), no abnormality detected (61), atypical (13), suspicious for malignancy (14), ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Norton LW,Wangensteen SL,Davis JR,Paplanus SH,Werner SC

    更新日期:1982-10-01 00:00:00

  • Assessing senior residents' knowledge and performance: an integrated evaluation program.

    abstract:BACKGROUND:Surgical residents have traditionally been evaluated by ward evaluations and multiple-choice testing; overall resident performance has seldom been objectively evaluated. We developed a comprehensive evaluation program for senior residents. The purpose of this study was to determine whether the several differ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Schwartz RW,Donnelly MB,Sloan DA,Johnson SB,Strodel WE

    更新日期:1994-10-01 00:00:00

  • Preoperative lymphocyte subsets and infectious complications after colorectal cancer surgery.

    abstract::Peripheral lymphocytes, T cells, and T cell subsets of 141 consecutive patients with colorectal cancer were measured preoperatively to determine whether infectious complications could be predicted from derangements of T cell subsets. T cell subset abnormalities reportedly precede sepsis in patients with burn injuries....

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Tartter PI

    更新日期:1988-02-01 00:00:00

  • Maintaining proficiency after fundamentals of laparoscopic surgery training: a 1-year analysis of skill retention for surgery residents.

    abstract:BACKGROUND:The purpose of this study was to determine performance retention after initial and ongoing Fundamentals of Laparoscopic Surgery (FLS) skills training. METHODS:Surgery residents (postgraduate year [PGY] 1-5; n = 91) initially underwent proficiency-based training during a 2-month period for all 5 FLS tasks. S...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2009.05.009

    authors: Castellvi AO,Hollett LA,Minhajuddin A,Hogg DC,Tesfay ST,Scott DJ

    更新日期:2009-08-01 00:00:00

  • Is there any difference in survival according to the portal tumor thrombectomy method in patients with hepatocellular carcinoma?

    abstract:BACKGROUND:Although portal venous tumor thrombus (PVTT) is regarded as an ominous prognostic factor in patients with hepatocellular carcinoma (HCC), the optimal treatment method for maximizing both safety and long-term outcome has not yet been discussed. We describe a surgical technique in which the venous wall is peel...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2008.09.005

    authors: Inoue Y,Hasegawa K,Ishizawa T,Aoki T,Sano K,Beck Y,Imamura H,Sugawara Y,Kokudo N,Makuuchi M

    更新日期:2009-01-01 00:00:00

  • John Syng Dorsey (1783-1818).

    abstract::John Syng Dorsey is one of the unsung heroes of American surgery. In 1811 he performed this country's first successful ligation of the external iliac artery, for a massive aneurysm in the right groin. Two years later he wrote America's first systematic textbook of surgery. In addition, he held the professorial chairs ...

    journal_title:Surgery

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Rutkow IM

    更新日期:1988-01-01 00:00:00

  • Immunoglobulin A supplementation abrogates bacterial translocation and preserves the architecture of the intestinal epithelium.

    abstract:BACKGROUND:Breast milk has been shown to prevent gut-origin infections in neonates through undefined mechanisms. Putative protective factors in breast milk include immunoglobulin (Ig)A, IgG, and lactoferrin. We examined their role in bacterial translocation in neonatal rabbits. METHODS:IgA, IgG, and lactoferrin were i...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Dickinson EC,Gorga JC,Garrett M,Tuncer R,Boyle P,Watkins SC,Alber SM,Parizhskaya M,Trucco M,Rowe MI,Ford HR

    更新日期:1998-08-01 00:00:00

  • Induction of donor-specific tolerance to rat nerve allografts with portal venous donor alloantigen and anti-ICAM-1/LFA-1 monoclonal antibodies.

    abstract:BACKGROUND:Expendable autologous nerve available for repair of nerve injuries is limited. Cadaveric allografts could provide adequate nerve for grafting but are susceptible to rejection and currently require chronic systemic immunosuppression. METHODS:Age-matched Buffalo (RT1B) rats randomly assigned to 7 experimental...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Genden EM,Mackinnon SE,Yu S,Flye MW

    更新日期:1998-08-01 00:00:00

  • Kinetic analysis of the rapid intraoperative parathyroid hormone assay in patients during operation for hyperparathyroidism.

    abstract:BACKGROUND:Rapid intraoperative parathyroid hormone (RI-PTH) assay is used to guide adequacy of resection during operation for hyperparathyroidism. We compared the RI-PTH assay (15 minutes) with a standard PTH assay, determined whether the PTH half-life varied between patients, and constructed a kinetic analysis of the...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2099.101835

    authors: Libutti SK,Alexander HR,Bartlett DL,Sampson ML,Ruddel ME,Skarulis M,Marx SJ,Spiegel AM,Simmonds W,Remaley AT

    更新日期:1999-12-01 00:00:00

  • Evaluation of donor vasculobiliary anatomic variations in liver graft procurements.

    abstract:BACKGROUND:The relationship among bile duct (BD), portal vein (PV), and/or hepatic artery (HA) anatomy is controversial, but no investigation has previously compared left and right liver graft transplantation in terms of variant vasculobiliary anatomy. Therefore, in this study, we explored whether variant BD anatomy ca...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2009.06.017

    authors: Kishi Y,Imamura H,Sugawara Y,Sano K,Kaneko J,Kokudo N,Makuuchi M

    更新日期:2010-01-01 00:00:00

  • Computed tomography in the evaluation of the patient with symptomatic abdominal aortic aneurysm.

    abstract::Computed tomography was used to evaluate 25 hemodynamically stable patients with suspected leaking abdominal aortic aneurysms. Of 10 patients found to have the presence of free retroperitoneal blood, six underwent immediate operation and five survived (83%). Delay in operation uniformly resulted in death. There was on...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Zarnke MD,Gould HR,Goldman MH

    更新日期:1988-06-01 00:00:00

  • Enhanced isolated pancreatic islet recovery and functionality in rats by 17beta-estradiol treatment of brain death donors.

    abstract:BACKGROUND:Current isolation techniques recover only 20% to 50% of the pancreatic islets. Brain death (BD) is characterized by activation of proinflammatory cytokines (PICs) with reduced islet yields and functionality. We previously reported that 17beta-estradiol (E2) induces cytoprotection to human islets exposed to P...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2004.05.009

    authors: Eckhoff DE,Eckstein C,Smyth CA,Vilatoba M,Bilbao G,Rahemtulla FG,Young CJ,Anthony Thompson J,Chaudry IH,Contreras JL

    更新日期:2004-08-01 00:00:00

  • Pitfalls in evaluating the surgical student.

    abstract::One hundred five students in our surgical clerkship were evaluated independently by two faculty members, a chief resident, a written multiple-choice examination, and two oral examinations. Faculty and chief resident evaluations included a written explanation and a score from 1 (honors) to 5 (failing). Oral and written...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Stillman RM

    更新日期:1984-07-01 00:00:00

  • Ectopic parathyroid adenoma of the lateral triangle of the neck: report of two cases.

    abstract::Ectopically placed parathyroid adenomas have been described in many locations. This article documents two patients in whom the adenoma was present in the lateral triangle of the neck, outside of the carotid sheath, and lateral to the jugular vein. ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Udekwu AO,Kaplan EL,Wu TC,Arganini M

    更新日期:1987-01-01 00:00:00

  • p44/p42-MAP kinase expression in papillary thyroid carcinomas.

    abstract:BACKGROUND:Recent studies suggest that mitogen-activated protein (MAP) kinase contributes to the growth and tumorigenesis of human epithelial cancers. Furthermore, blockade of this pathway may inhibit the growth of epithelial cancers. To determine whether MAP kinase is activated in human papillary thyroid carcinomas (P...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2001.118381a

    authors: Specht MC,Barden CB,Fahey TJ 3rd

    更新日期:2001-12-01 00:00:00

  • Protection against ischemia/reperfusion injury by the cavitary two-layer method in canine small intestinal transplantation with reduction of reactive oxygen species.

    abstract:BACKGROUND:Ischemia and reperfusion (I/R) injury is a major determinant of early graft dysfunction and long-term graft survival in small intestinal transplantation. The cavitary two-layer method (TLM) has been reported to be superior to the University of Wisconsin cold storage method (UWM) in long-term preservation of ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2003.10.013

    authors: Kakinoki K,Fujino Y,Suzuki Y,Li S,Yoshikawa T,Tanioka Y,Ku Y,Kuroda Y

    更新日期:2004-06-01 00:00:00

  • A screening tool identifies high distress in newly diagnosed breast cancer patients.

    abstract:BACKGROUND:Many breast cancer patients and survivors experience clinically significant distress, which poses a danger to both their psychologic and clinical well-being. Improved understanding of the types of distress that patients experience at the time of breast cancer diagnosis may reveal areas for intervention to im...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2020.04.051

    authors: Ludwigson A,Huynh V,Bronsert M,Sloan K,Murphy C,Christian N,Jaiswal K,Ahrendt G,Tevis SE

    更新日期:2020-11-01 00:00:00

  • Corticosteroids increase blood interleukin-10 levels during cardiopulmonary bypass in men.

    abstract:BACKGROUND:Interleukin (IL)-10 is a potent antiinflammatory cytokine inhibiting the release of tumor necrosis factor--alpha (TNF-alpha) and IL-8 by activated macrophages and polymorphonuclear leukocytes. Cardiopulmonary bypass (CPB) represents a unique situation where an inflammatory reaction is predictably induced. Th...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80217-0

    authors: Tabardel Y,Duchateau J,Schmartz D,Marécaux G,Shahla M,Barvais L,Leclerc JL,Vincent JL

    更新日期:1996-01-01 00:00:00

  • Intermittent sequential pneumatic compression of the legs in the prevention of venous stasis and postoperative deep venous thrombosis.

    abstract::The optimal stimulus which produced the maximum increase in blood velocity in the femoral vein during compression of the lower limb with a sequential compression device (six chambers) was determined using Doppler ultrasound in 10 normal limbs. Pressures of 35, 30, and 20 mm Hg at the ankle, calf, and thigh, respective...

    journal_title:Surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Nicolaides AN,Fernandes e Fernandes J,Pollock AV

    更新日期:1980-01-01 00:00:00

  • Assessing access to surgical care in Nepal via a cross-sectional, countrywide survey.

    abstract:BACKGROUND:Adequate surgical care is lacking in many low- and middle-income countries because of diverse barriers preventing patients from reaching providers. We sought to assess perceived difficulties to accessing surgical care in Nepal using the Surgeons OverSeas Assessment of Surgical Need tool. METHODS:Fifteen of ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2016.03.012

    authors: Boeck MA,Nagarajan N,Gupta S,Varadaraj V,Groen RS,Shrestha S,Gurung S,Kushner AL,Nwomeh B,Swaroop M

    更新日期:2016-08-01 00:00:00

  • Laparoscopy in 533 patients with abdominal malignancy.

    abstract:BACKGROUND:Laparoscopy in patients with intra-abdominal malignancy remains controversial. This study evaluates the incidence of tumor recurrence at the port site after laparoscopy in patients with intra-abdominal malignancy. METHODS:The medical records of all patients with nongynecologic malignancies who underwent lap...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Pearlstone DB,Mansfield PF,Curley SA,Kumparatana M,Cook P,Feig BW

    更新日期:1999-01-01 00:00:00