Piquet P
Service de Chirurgie Vasculaire, CHU Timone, Marseille.
J Mal Vasc. 1994;19 Suppl A:158-61.
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.
在过去几年中,动脉造影一直是股腘动脉搭桥术中术野控制的金标准检查方法。血管内镜检查是一种辅助静脉移植物制备以及在手术结束时控制管腔质量和吻合口情况的替代方法。本研究分析了所采用的技术以及医学文献中发表的结果。完成这项调查后,似乎血管内镜检查和动脉造影作为腹股沟下动脉重建术的控制手段,在检查的便利性、完成检查所需时间及其成本方面可以进行比较。然而,对于可能导致腹股沟下旁路立即失败的技术缺陷的诊断,血管内镜检查比动脉造影更敏感。