[Venous ultrasound in current angiology practice]. / L'échographie veineuse en pratique angéiologique courante.

From a 3,000 patients study, estimation of venous system by B-mode Imaging coupled with directional Doppler velocimetry is reported. Concordance in 85% of correlations between ultrasonic venography and conventional phlebography for deep vein calf thrombosis is promising. Real time venous echography provides reliable diagnosis with simple, repetitive and non-invasive control of deep veins system. Significant visualization of superficial veins system provides for non-occlusive disease or thrombotic lesions a new approach and eventual enlargement of surgical indications.

[Repair problems of infected iatrogenic lesions of the femoral trifurcation. Review of 7 cases (author's transl)]. / Problèmes posés par la réparation des lésions iatrogènes surinfectées du trépied fémoral. A propos de 7 observations.

The authors report on seven cases of infected iatrogenic lesions of the femoral trifurcation. One case was a false aneurism consecutive to a femoral vein catheterization. In 5 cases an arterial lesion followed angiography according to Seldinger. In the last case aetiology was undetermined. Local symptomatology was always associated to systemic infection. The causative germ was a pseudomonas in 3 cases an a staphylococ in 4 others. Operation was performed in emergency in all cases because of a fissure or a rupture of the artery. The authors performed: one simple arterial suture, one resection with plastic graft, one resection with venous graft and 4 resections with double vein graft. This last procedure appears useful for lesions situated at the femoral division.

[Assessment of 81 traumatic vascular lesions of the limbs (author's transl)]. / Bilan de 81 lésions vasculaires traumatiques des membres.

A review of 81 cases of vascular trauma of the limbs in 75 patients treated at the Grenoble University Hospital from 1967 to 1975 confirms the classical etiological, pathological and clinical findings. Analysis of the results led us to emphasise the necessity of bone and vascular repair which should be complete from the start, verified by peroperative radiological control. The application of now well-established rules to the treatment of vascular trauma should lead to a better prognosis in the case of popliteal lesions (76 p. cent of good results out of 17 revascularisations).

[Principles of surgery of the deep femoral artery in arteritis of the lower extremities]. / Bases de la chirurgie de l'artère fémorale profonde dans l'artérite des membres inférieurs

The role of the deep femoral artery has too often been ignored in the assessment of arteritis of the lower limb. This anatomical distribution, which seems to be restricted to the thig, has left pride of place to the superficial artery as being responsible for intermittent claudication. In fact the deep femoral artery represents an exceptional and privileged route for anastomosis that is capable of replacing almost perfectly an obstructed superficial femoral artery and also in a more limited way femoro-popliteal arteries with extensive obstructions. The authors estimate that the deep femoral artery represents a true physiological bypass for a thrombosed superficial femoral artery on which a lumbar sympathectomy has a particularly remarkable action. It is important, in order to obtain as good a result as possible, that the flow in the deep femoral artery should be good, which presupposes complete freedom of the iliac axis and good permeability of the trunk of the artery, begining at its ostium. Surgery of the deep femoral artery is short or lon angioplastic surgery depending on the type of lesion, usually involving a venous patch. The surgical approach is straightforward. Whe it is used for isolated lesions or as the last stage of aorto-iliac surgery, delicate angioplasty of the deep femoral artery is a perfectly feasible operation which the authors believe should take its place, in association with lumbar sympathectomy, in the restoration of the superficial femoral artery.