STI Volume 31

 

$195.00

Surgical Technology International 31

 

Surgical Technology International Vol. 31 contains 59 peer-reviewed articles featuring the latest advances in surgical techniques and technologies.

 

December-2017- ISSN:1090-3941

 

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Cardiovascular & Thoracic Surgery

Correlation of Values for Indocyanine Green Angiography in the Arterographically Normal Lower Extremity
Paul J. Kim, DPM, MS, Associate Professor, Christopher E. Attinger, MD, Professor, Cameron M. Akbari, MD, Associate Professor, Caitlin Ward, BA, Research Associate

 

Abstract


Introduction: Indocyanine green angiography (ICGA) is an assessment tool used to detect the degree of perfusion of tissue. This technology is being utilized in a variety of applications, including in the lower extremity. Principally, ICGA has been reported as a tool to determine pre-, intra-, or post-operative perfusion. The aim of this study is to determine objective values for ICGA in patients with arterographically normal lower extremities.
Materials and Methods: Prospectively, 20 patients were identified with no history of peripheral vascular disease who were scheduled to undergo distal subtraction angiography of the lower extremity. Based on the angiogram, 18 patients were deemed anatomically normal—a patent posterior tibial, anterior tibial, and peroneal artery with blood flow past the ankle into the foot. These patients then underwent ICGA on the dorsal and plantar aspects of the foot. The time to blush (seconds) and ingress and egress rates (units/second) were calculated. Results: The mean time to blush for the dorsal aspect is 26.7s (standard deviation [SD]=22.16) and the median is 14s (range=4–81s) and for the plantar aspect is 9.33s (SD=18.64), and the median is 3.5s (range=1–68s). The region of interest (ROI) ingress rates for the dorsal foot is: mean 3.29 (SD=5.18) and median is 1.60 (range=0.2–21.7). The ROI egress rates for the dorsal foot is: mean 0.55 (SD=0.43) and median is 0.35 (range=0.3–1.40). The ROI ingress rates for the plantar foot is: mean 10.02 (SD=11.91) and median 2.60 (range=0.30–34.20). The ROI egress rates for the plantar foot is: mean 1.57 (SD=1.65) and median is 1.00 (range=0.10–5.70).
Conclusions: This is the first study attempting to establish objective values for ICGA in the vascularly patent lower extremity.

917

22-09-2017

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Short-Term Results of Eluvia™ Paclitaxel-Eluting Stent in External Iliac and Femoropopliteal Lesions
Maxime Elens, MD, Medical Doctor, Robert Verhelst, PhD, Professor, Julien Possoz, MD, Medical Doctor, Stefano Mastrobuoni, MD, Medical Doctor, Valerie Lacroix, PhD, Professor, Parla Astarci, PhD, Professor

 

Abstract


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894

14-08-2017

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