[Peroperative monitoring of femoral-popliteal vein bypasses by angioscopy].
For the past few years, arteriography has been the gold-standard examination for the intra-operative control of femorodistal bypass grafts. Angioscopy is an alternative method permitting to assist the preparation of the venous graft, and to control the quality of the lumen as well as the anastomoses at the end of the procedure. The techniques employed and the results published in the medical literature are analysed in this study. After completion of this survey, it seems that angioscopy and arteriography used as means of control of infra-inguinal arterial reconstructions can be compared regarding the facility of the examination, the time necessary for its realisation, and its cost. However angioscopy is more sensitive than arteriography for the diagnosis of technical imperfections that may result in immediate failure of infrainguinal bypasses.
Piquet
P
P
Service de Chirurgie Vasculaire, CHU Timone, Marseille.
D000714:Anastomosis, Surgical; D017546:Angioscopy; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D016343:Monitoring, Intraoperative; D011150:Popliteal Artery / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*
Contrôle peropératoire des pontages veineux fémoro-poplités par angioscopie.