A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography

We report the case of a 75-year-old man who underwent right femoral-popliteal bypass surgery. Anastomotic stenosis was overlooked in indocyanine green (ICG) angiography due to opacification on the bypass graft. X-ray angiography revealed slit-shaped stenosis in the distal graft anastomosis that requ...

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Autores principales: Yamamoto, Masaki, Ninomiya, Hitoshi, Tashiro, Miwa, Nishimori, Hideaki, Inoue, Keiji, Sato, Takayuki, Hanazaki, Kazuhiro, Orihashi, Kazumasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094034/
https://www.ncbi.nlm.nih.gov/pubmed/30116417
http://dx.doi.org/10.3400/avd.cr.17-00122
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author Yamamoto, Masaki
Ninomiya, Hitoshi
Tashiro, Miwa
Nishimori, Hideaki
Inoue, Keiji
Sato, Takayuki
Hanazaki, Kazuhiro
Orihashi, Kazumasa
author_facet Yamamoto, Masaki
Ninomiya, Hitoshi
Tashiro, Miwa
Nishimori, Hideaki
Inoue, Keiji
Sato, Takayuki
Hanazaki, Kazuhiro
Orihashi, Kazumasa
author_sort Yamamoto, Masaki
collection PubMed
description We report the case of a 75-year-old man who underwent right femoral-popliteal bypass surgery. Anastomotic stenosis was overlooked in indocyanine green (ICG) angiography due to opacification on the bypass graft. X-ray angiography revealed slit-shaped stenosis in the distal graft anastomosis that required revision. Although blood flow may be maintained despite of anastomotic stenosis, small decreases in blood flow cannot be detected in ICG angiography. We describe and discuss the pitfalls of qualitative graft assessment using ICG angiography, and compare ICG fluorescence luminance intensity between primary and revised grafts.
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spelling pubmed-60940342018-08-16 A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography Yamamoto, Masaki Ninomiya, Hitoshi Tashiro, Miwa Nishimori, Hideaki Inoue, Keiji Sato, Takayuki Hanazaki, Kazuhiro Orihashi, Kazumasa Ann Vasc Dis Case Report We report the case of a 75-year-old man who underwent right femoral-popliteal bypass surgery. Anastomotic stenosis was overlooked in indocyanine green (ICG) angiography due to opacification on the bypass graft. X-ray angiography revealed slit-shaped stenosis in the distal graft anastomosis that required revision. Although blood flow may be maintained despite of anastomotic stenosis, small decreases in blood flow cannot be detected in ICG angiography. We describe and discuss the pitfalls of qualitative graft assessment using ICG angiography, and compare ICG fluorescence luminance intensity between primary and revised grafts. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018-06-25 /pmc/articles/PMC6094034/ /pubmed/30116417 http://dx.doi.org/10.3400/avd.cr.17-00122 Text en Copyright © 2018 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2018 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Yamamoto, Masaki
Ninomiya, Hitoshi
Tashiro, Miwa
Nishimori, Hideaki
Inoue, Keiji
Sato, Takayuki
Hanazaki, Kazuhiro
Orihashi, Kazumasa
A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography
title A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography
title_full A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography
title_fullStr A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography
title_full_unstemmed A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography
title_short A Case of Anastomotic Stenosis of a Peripheral Arterial Bypass Graft Undetected in Indocyanine Green Angiography
title_sort case of anastomotic stenosis of a peripheral arterial bypass graft undetected in indocyanine green angiography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094034/
https://www.ncbi.nlm.nih.gov/pubmed/30116417
http://dx.doi.org/10.3400/avd.cr.17-00122
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