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[股腘静脉搭桥术的血管内镜术中监测]

[Peroperative monitoring of femoral-popliteal vein bypasses by angioscopy].

作者信息

Piquet P

机构信息

Service de Chirurgie Vasculaire, CHU Timone, Marseille.

出版信息

J Mal Vasc. 1994;19 Suppl A:158-61.

PMID:8158077
Abstract

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.

摘要

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。

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1
[Peroperative monitoring of femoral-popliteal vein bypasses by angioscopy].[股腘静脉搭桥术的血管内镜术中监测]
J Mal Vasc. 1994;19 Suppl A:158-61.
2
[Long-term patency of reversed and in situ femoro-popliteal bypasses].[股腘动脉逆行与原位旁路移植术的长期通畅率]
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Continued experience with intraoperative angioscopy for monitoring infrainguinal bypass grafting.术中血管内镜监测股腘动脉旁路移植术的持续经验。
Surgery. 1991 Mar;109(3 Pt 1):286-93.
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Preliminary experience of angioscopy in femorodistal bypass.股腘动脉搭桥术中血管内镜的初步经验
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Thorac Cardiovasc Surg. 1994 Aug;42(4):199-207. doi: 10.1055/s-2007-1016488.
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[Angioscopic in-situ arterial bypass for lower extremity revascularization].[下肢血管重建的血管镜原位动脉旁路术]
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Vein quality in infrainguinal revascularisation: assessment by angioscopy and histology.下肢血管重建术中静脉质量:通过血管内镜检查和组织学评估
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