Jc. Baudrillard et al., PERCUTANEOUS ANGIOSCOPY AND ANGIOPLASTY IN THE TREATMENT OF ARTERIOPATHIES IN THE LEGS, Annales de cardiologie et d'angeiologie, 42(5), 1993, pp. 27-34
Since 1987, the authors have routinely combined angioscopy with angiop
lasty of peripheral arteries. In a series of 251 angioplasties carried
out in 191 patients, angioscopy was found to be more specific and mor
e sensitive than arterial angiography in the etiological diagnosis of
arterial stenoses and/or obstructions. Angioscopic findings modified t
he angioplasty procedure in 29 % of cases. Using an inflatable cathete
r remains the most commonly used approach (230 cases) : in 10 cases, t
his was preceded by thromboaspiration and in 4 cases by dotterization.
Angioscopic support was useful in carrying out difficult manoeuvres (
monitoring of the angioplasty in 4 cases, correct orientation of the g
uide into the lumen in 14 cases, installation of an endoprosthesis in
9 cases, arterial biopsy in 5 cases and sampling of an atheroma in 8 c
ases).