[Transposition of the common iliac artery onto the contralateral hypogastric artery (author's transl)].

On fourteen occasions the authors have used an original technique of anastomosis between the common iliac artery and the contralateral hypogastric artery. This technique can be applied to the surgical treatment of Cockett's syndrome. But it is also useful in some emergency situations, such as traumatisms or surgery in septic environment, as it restores the arterial blood flow without prosthetic bypass when the common iliac artery is sacrificed.

[Acute ischaemia of the colon. 23 cases (author's transl)].

Twenty three cases of acute ischaemia of the left side of the colon were seen between 1968 and 1978. The physiopathology is similar to that of acute ischaemia of the limbs and two major factors must be borne in mind : underlying arterial disease and a low systemic flow rate. Severe surgical forms may be associated with suggestive abdominal symptoms and signs (diffuse or localised peritonitis, febrile obstruction, abscess in the left flank) or there may be only a septicaemia, unexplained fever or diarrhoea.

Infection complicating aortoiliac surgery.

25 cases of sepsis complicating aorto-iliac surgery have been encountered in the period 1970 to 1976 (8 cases occured in our own unit and 17 were received from elsewhere). There were 10 instances of infection following thromboendarterectomy and all 10 were treated successfully. Among the 19 patients with infected prostheses (14 primary, 5 secondary) there were 5 deaths(1 myocardial infarct, 2 septicaemia, 2 aortic haemorrhages) and 3 amputations.

[74 by-passes on leg arteries (author's transl)].

74 by-passes on leg arteries have been performed during these last ten years at St Joseph's hospital to cure: femoropopliteal atherosclerotic occlusive disease (67 cases), aneurisms (5 cases), post-traumatic arteriovenous fistula (1 case), popliteal thrombosis on exostosis (1 case). The indication for operation was, in almost every case, carried on a distal advanced ischemia, followed by an imminent limb loss. In four cases, there existed an acute sensory and motor ischemia.

[The role of lumbar sympathectomy in the treatment of diabetic arterial disease (author's transl)].

220 lumbar sympathectomies were performed in 206 patients. Postoperative mortality morbidity were essentially related to the cardiovascular past history of the patients and indications for surgery must be very carefully weighed, in particular after the age of 70 years. Sympathectomy markedly increases the chances of healing of patients with ischaemic trophic disturbances.

[Diabetic arterial disease. Surgical indications of the basis of a series of 416 cases (author's transl)].

416 cases of diabetic arterial disease were treated over a period of 5 years, the majority of patients (71%) having trophic problems from the outset. -- Clinically, distinction must be drawn between patients suffering from "ischemic" disturbances, where healing is obtained after an appropriate surgical procedure (reconstructive surgery, if not lumbar sympathectomy) and so-called "diabetic" gangrene, where cure is obtained only by isolated excision. -- Few of the patients had lesions making reconstructive surgery possible, and the latter was thus only rarely indicated (13% of cases).

[Vascular complications after the treatment of carcinoma of the cervix (author's transl)].

Vascular complications after this treatment are rare. Artery stenosis or occlusions, more often iliac, are well recognized complications of postoperative radiotherapy. These segmental lesions, sometimes, are pathological lesions similar to arteriosclerotic changes.

[Extrinsic compression of the popliteal artery (author's transl)].

Popliteal artery compression may be due to trapping of the artery, a tumor, or a subadventricial cyst. Diagnosis is suggested by the discovery of ischemia in a subject who is often young, this being an unusual finding. It is confirmed by dynamic doppler tests, ultrasonography, and vascular opacification.

[Revascularisation of the intestinal arteries from the suprarenal aorta (author's transl)].

Amongst procedures for revascularisation of the intestinal arteries, bypass implanted in the suprarenal aorta by a purely abdominal approach, with section of the right crus of the diaphragm, would appear to be the most satisfactory procedure. For the superior mesenteric, in particular, the pre-pancreatic anterograde course avoids any bending or kinking. Nine patinets undergoing surgery with venous or goretex grafts confirmed the quality of the results obtained by this technique.

[Combined revascularisation of the superficial and deep femoral arteries by vein graft (author's transl)].

When venous bypass is indicated in order to reconstruct the femoral bifurcation, or its branches, it is desirable to revascularise the superficial and deep femoral at the same time. There are three technical possibilities: bifurcated graft, scarf graft, bypass with interfemoral graft. If there is a lack of venous material, the bypass will be mixed: goretex-vein.

[Use of urokinase during surgery: a new approach to the treatment of vascular obliterative disease (author's transl)].

Thrombolysis occurred in five out of eleven patients treated with intra-arterial urokinase for recent raterial obliteration. These positive results were accompanied by perfect tolerance and absence of systemic fibrinolysis. In some cases, therefore, surgical revascularization can be associated with fibrinolytic treatment.

[Unusual procedures in the cure of aneurisms of the subrenal aorta (author's transl)].

From 1959 to 1977, out of 419 aneurisms of the subrenal aorta operated on, 84 were by unusual procedures: --25 restoratory endo-aneurismorraphies with thrombo-endarterectomy were carried out for small aneurisms in young subjects; --4 were enveloped in dacron (in particular for a risk of distal acute post-operative thrombosis); --in 55 cases, these were high risk surgical subjects where conventional treatment by removal of the aneurism and graft appeared to have a bad prognosis: 43 were treated by axillo-femoral by pass with ligature of the aorta just above the aneurism either for acute arterial obstruction with sensory and motor ischemia, or for embolism or for subjacent obstruction; 12 large advanced aneurisms with fissures of tears were treated by axillo-bifemoral by pass and exclusion. Depending on the results obtained, are deduced the operative indications for these procedures.

[Giant cell arteritis and takayasu's disease: histopathological criteria (author's transl)].

Both of these arterial diseases may involve the aorta and the major arterial trunks. Two cases of subclavian involvement are used to contrast them from a histopathological standpoint. In giant cell arteritis, the lesions affect above all the internal elastic layer and the inner part of the media, destroyed by an inflammatory infiltrate with giant cells.