Angioscopy: Instrumentation, Techniques, and Applications

  • Arnold Miller
  • Juha P. Salenius


Angioscopy is the only imaging technology that allows direct in vivo visualization of the interior of blood vessels in real-life colors. This capability to detect and quantify endoluminal findings and delineate subtle variations of the different normal and abnormal endoluminal states has only begun to be appreciated. The evolution and clinical application of the endoluminal techniques in the treatment of occlusive arterial disease and the performance of the distal bypass to the tibial and pedal arteries have highlighted the deficiencies of the arteriogram in providing accurate and clinically relevant information regarding the endoluminal state.


Saphenous Vein Vein Graft Carotid Endarterectomy Superficial Femoral Artery Distal Anastomosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Vollmar J, Storz L: Vascular endoscopy, Surg Clin North Am 54: 111–122, 1974.PubMedGoogle Scholar
  2. 2.
    Towne J, Bernhard V: Vascular endoscopy: an adjunct to carotid surgery, Stroke 8: 569–571, 1977.PubMedCrossRefGoogle Scholar
  3. 3.
    Towne J, Bernhard V: Technique of intraoperative endoscopic evaluation of occluded aortofe-moral grafts following thrombectomy, Surg Gynecol Obstet 148: 87–89, 1979.PubMedGoogle Scholar
  4. 4.
    Shure D, Gregoratos G, Moser K: Fiberoptic angioscopy: role in the diagnosis of chronic pulmonary artery obstruction, Ann Intern Med 103: 844–850, 1985.PubMedGoogle Scholar
  5. 5.
    Spears J, Marais H, Serur J et al: In vivo coronary angioscopy, J Am Coll Cardiol 1: 1311–1314, 1983.PubMedCrossRefGoogle Scholar
  6. 6.
    Grundfest W, Litvack F, Sherman T et al: Delineation of peripheral and coronary detail by intraoperative angioscopy, Ann Surg 202: 394–400Google Scholar
  7. 7.
    Grundfest W, Litvack F, Glick D et al: Intraoperative decisions based on angioscopy in peripheral vascular surgery, Circulation 78 (suppl I): 113–117, 1988.Google Scholar
  8. 8.
    Sherman T, Litvack F, Grundfest W et al: Coronary angioscopy in patients with unstable angina pectoris, N Engl J Med 315: 913–919Google Scholar
  9. 9.
    Seeger J, Abela G: Angioscopy as an adjunct to arterial reconstructive surgery: a preliminary report, J Vase Surg 4: 315–320, 1986.Google Scholar
  10. 10.
    Mehigan J, Olcott C: Videoangioscopy as an alternative to intraoperative arteriography, Am J Surg 152: 139–145, 1986.PubMedCrossRefGoogle Scholar
  11. 11.
    Beck A: Percutaneous angioscopy. First reports on percutaneous transluminal angioplasty and local lysis under angioscopic conditions, Radiologe 27: 555–559, 1987.PubMedGoogle Scholar
  12. 12.
    White G, White R, Kopchok B et al: Angioscopic thromboembolectomy: preliminary observations with a recent techique, J Vase Surg 7: 318–325Google Scholar
  13. 13.
    Lee G, Morelli R, Long J et al: Combined laser-thermal and atherectomy treatment of peripheral arterial occlusion: documentation by angioscopy and angiography, Am Heart J 118: 1324–1327, 1989.PubMedCrossRefGoogle Scholar
  14. 14.
    Mehigan J, DeCampli W: Angioscopic control of carotid endarterectomy. In Ahn SS. Moore WS, editors: Endovascular surgery, ed 2, Philadelphia, 1992, WB Saunders.Google Scholar
  15. 15.
    Raithel D, Kasprzak P: Angioscopy after carotid endarterectomy, Ann Chir Gynaecol 81: 192–195, 1992.PubMedGoogle Scholar
  16. 16.
    Dietrich E, Yoffe B, Kiessling J et al: Angioscopy in endovascular surgery: recent technical advances to enhance intervention selection and failure analysis, Angiology 43: 1–10, 1992.CrossRefGoogle Scholar
  17. 17.
    Silverman S, Mladinich C, Hawkins I et al: The use of carbon dioxide gas to displace flowing blood during angioscopy,/Vase Surg 10: 313–317Google Scholar
  18. 18.
    Miller A, Lipson W, Isaacsohn J et al: Intraoperative angioscopy: principles of irrigation and description of a new dedicated irrigation pump, Am Heart J 118: 391–399, 1989.PubMedCrossRefGoogle Scholar
  19. 19.
    Miller A, Campbell D, Gibbons G et al: Routine intraoperative angioscopy in lower extremity revascularization, Arch Surg 124: 604–608, 1989.PubMedCrossRefGoogle Scholar
  20. 20.
    Miller A, Stonebridge P, Jepsen S et al: Continued experience with intraoperative angioscopy for monitoring infrainguinal bypass grafting, Surgery 109: 286–293, 1991.PubMedGoogle Scholar
  21. 21.
    Miller A, Stonebridge P, Tsoukas A et al: Angio-scopically directed valvulotomy: a new valvulotome and technique, J Vase Surg 13: 813–821, 1991.CrossRefGoogle Scholar
  22. 22.
    Kwolek C, Miller A, Stonebridge P et al: Safety of saline irrigation for angioscopy: results of a prospective randomized trial, Ann Vase Surg 6: 62–68, 1992.CrossRefGoogle Scholar
  23. 23.
    Miller A, Jepsen S: Technique of intraoperative angioscopy in lower extremity revascularization. In Bergan J, Yao J, editors: Techniques in arterial surgery, Philadelphia, 1990, WB Saunders.Google Scholar
  24. 24.
    Mehigan J: Angioscopic preparation of the in situ saphenous vein for arterial bypass technical considerations. In White G, White R, editors: Angioscopy: vascular and coronary applications, St Louis, 1989, Mosby.Google Scholar
  25. 25.
    Miller A, Jepsen S, Stonebridge P et al: New angioscopic findings in graft failure after infrainguinal bypass grafting, Arch Surg 125: 749–755, 1990.PubMedCrossRefGoogle Scholar
  26. 26.
    Stierli P, Aeberhard P: Angioscopy-guided semi-closed technique for in site bypass with a novel flushing valvulotome: early results, J Vase Surg 15: 546–548, 1992.CrossRefGoogle Scholar
  27. 27.
    White G, White R, Kopock G et al: Endoscopic intravascular surgery removes intraluminal flaps, dissections, and thrombus, J Vase Surg 11: 280–288, 1990.Google Scholar
  28. 28.
    Marcaccio E, Miller A, Tannenbaum G et al: Angioscopically directed interventions improve arm vein bypass grafts, J Vase Surg 17: 994–1004, 1993.CrossRefGoogle Scholar
  29. 29.
    La Muraglia G, Cambria R, Brewster D et al.: Angioscopy facilitates a closed technique for in-situ vein bypass, J Vase Surg 12: 601–604, 1990.Google Scholar
  30. 30.
    Maini B, Andrews L, Salimi T et al: A modified, angioscopically assisted technique for in situ saphenous vein bypass: impact on patency, complications, and length of stay, J Vase Surg 17: 1041–1049, 1993.CrossRefGoogle Scholar
  31. 31.
    Rosenthal D, Cickson C, Rodriguez FL et al: Infrainguinal endovascular in situ saphenous vein bypass: ongoing results. J Vase Surg 20: 389–395, 1994.CrossRefGoogle Scholar
  32. 32.
    Miller A, Marcaccio E, Tannenbaum G et al.: Comparison of angioscopy and angiography for monitoring infrainguinal bypass grafts: results of a prospective randomized trial, J Vase Surg 17: 382–398, 1992.CrossRefGoogle Scholar
  33. 33.
    Gaunt M, Naylor A, Ratliff D et al.: Role of completion angioscopy in detecting technical error after carotid endarterectomy, Br J Surg 81: 42–44, 1994.PubMedCrossRefGoogle Scholar
  34. 34.
    Holzenbein T, Miller A, Tannenbaum G et al: Role of angioscopy in reoperation for the failing or failed infrainguinal vein bypass graft, Ann Vase Surg 8: 74–91, 1994.CrossRefGoogle Scholar
  35. 35.
    Holzenbein T, Miller A, Gottlieb M et al: The role of routine angioscopy in vascular access surgery, J Endovasc Surg 2: 10–25, 1995.PubMedCrossRefGoogle Scholar
  36. 36.
    White J, Haas K, Comerota A: An alternative method of salvaging occluded suprainguinal bypass grafts with operative angioscopy and endovascular intervention, J Vase Surg 18: 922–931, 1993.CrossRefGoogle Scholar
  37. 37.
    Vollmar J, Hutschenreiter S: Vascular endoscopy for venous thrombectomy, In Ahn SS, Moore WS, editors: Endovascular surgery, ed 2, Philade-phia, 1992, WB Saunders.Google Scholar
  38. 38.
    Woelfle K, Bruijnen H, Zuegel N et al.: Technique and results of vascular endoscopy in arterial and venous reconstructions, Ann Vase Surg 6: 347–356, 1992.CrossRefGoogle Scholar
  39. 39.
    Raju S, Fredericks R: Valve reconstruction procedures for nonobstructive venous insufficiency: rationale, techniques, and results in 107 procedures with two-to eight-year follow-up, J Vase Surg 7: 301–310, 1988.Google Scholar
  40. 40.
    Gloviczki P, Merrell S, Bower T: Femoral vein valve repair under direct vision without venotomy: a modified technique with use of angioscopy, J Vase Surg 14: 645–648, 1991.CrossRefGoogle Scholar
  41. 41.
    Welch H, McLaughlin R, O’Donnell T Jr: Femoral vein valvuloplasty: intraoperative angioscopic evaluation and hemodynamic improvement, J Vase Surg 16: 694–700, 1992.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Arnold Miller
  • Juha P. Salenius

There are no affiliations available

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