[False aneurysm of the femoral artery complicating exostosis].

A case of false aneurysm of the femoral artery due to an exostosis of the distal end of the femur is reported. The clinical diagnosis was confirmed by sonography and, especially, by a digitalized arteriography. The CT-scan showed the perforation of the arterial wall by the exostosis.

[Femoro-popliteal endarterectomy using a pneumatic oscillator].

In patients with severe ischaemia from femoro-popliteal thrombosis, but without suitable vein for bypass, a synthetic or bioprosthesis is usually installed. This is a costly method giving statistically mediocre results. An alternative method is femoro-popliteal endarterectomy performed with rings that are made to oscillate by a pneumatic motor.

Aneurysm of persistent sciatic artery: report of a case treated by endovascular occlusion and femoropopliteal bypass.

Aneurysmal degeneration is the most serious complication of persistent sciatic artery. In the literature there have been only 16 surgically treated cases. We report one additional case to present an original and safe method of treatment: balloon endovascular occlusion and femoropopliteal bypass.

[Are there indications for sympatholysis using phenol?].

A phenol injection of the lumbar sympathetic chain has been performed 45 times on 40 patients whose mean age was 78 years and whose poor general condition was a contra-indication to any kind of anesthesia. The results have been evaluated at one month and one year in 33 patients. Among these patients, 21 had an available distal artery seen on the arteriography and 12 no distal artery.

[Severe ischemia caused by femoro-popliteal thrombosis. Endarterectomy using a pneumatic oscillator].

Autologous saphenous vein bypass is the best treatment for severe ischemia with femoro-popliteal thrombosis. But in over 20% of cases a vein is not available. Patency rates after prosthetic grafts are low.