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  • Title
  • 1. Introduction
  • 2. Incision and Exposure
  • 3. Heparinization and Clamping
  • 4. Endarterectomy
  • 5. Patch Placement
  • 6. Interrogation of Blood Flow
  • 7. Hemostasis
  • 8. Closure
  • 9. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Femoral Endarterectomy for Severe Peripheral Arterial Disease

14827 views

Katherine L. Morrow, MD; Anahita Dua, MD, MS, MBA, FACS
Massachusetts General Hospital

Vascular SurgeryMultidisciplinary Surgery

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Incision and Exposure
      1. 3. Heparinization and Clamping
        1. 4. Endarterectomy
          1. 5. Patch Placement
            1. 6. Interrogation of Blood Flow
              1. 7. Hemostasis
                1. 8. Closure
                  1. 9. Post-op Remarks

                    1. Introduction

                    2. Incision and Exposure

                    3. Heparinization and Clamping

                    4. Endarterectomy

                    1. Arteriotomy
                    2. Remove Bulk of Plaque
                    3. Check Proximal Flow
                    4. Check Proximal End Point
                    5. Check Profunda and Distal End Point
                    6. Check Branches
                    7. Check SFA and Define Distal End Point
                    8. Final Inspection

                    5. Patch Placement

                    1. Hemostasis and Reversal of Heparin

                    6. Interrogation of Blood Flow

                    1. Pulse Volume Recording (PVR)
                    2. Doppler: Interrogate Distal Flow
                    3. Doppler: Interrogate Proximal Flow

                    7. Hemostasis

                    8. Closure

                    9. Post-op Remarks

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                    Authors

                    Filmed At:

                    Massachusetts General Hospital

                    Article Information

                    Publication Date
                    Article ID363
                    Production ID0363
                    Volume2023
                    Issue363
                    DOI
                    https://doi.org/10.24296/jomi/363