Skip to Main content Skip to Navigation
Master Thesis

Modification de l’hémodynamique artérielle lors d’une revascularisation périphérique dans l’artériopathie oblitérante des membres inférieurs au stade d’ischémie d’effort ou de repos : analyse des flux Doppler selon la classification de Saint-Bonnet

Abstract : Introduction: Limb Extremity Arterial Disease is a common atheromatous pathology, that leads by is obstructive compound to walk and rest pain in the inferior limb. Doppler Ultrasound is the first intention tool for the diagnosis and the follow up of this pathology. However, without regarding the diagnosis of permeability or obstruction, sharp analysis of doppler flux suffer from a lack of consensus and study. Our objective is to observe the modification of doppler arterial flux with a recent classification, the Saint-Bonnet Classification, before and after a limb arterial revascularization procedure. Method: Arterial flux of patients hospitalized in the CHU of Caen for limb extremity arterial disease were compared before and after the procedure at the common femoral, the popliteal and the distal arteries. A sub-group analysis was performed, according to clinical stage by the Leriche and Fontaine classification. Results : This study found a statistically significative decrease of type “CD” flux rate at the common femoral, popliteal and distal level (respectively from 13 to 4%, 72 to 22% and 78 to 48% for “CD” flux), and a statistically significative increase of type “N or A” flux at those 3 levels (respectively from 76 to 85%, 9 to 46% and 7 to 26%) when the global sample was analyzed. We found a statistically significative decrease of the diastolic compound at the popliteal and distal level (from 74 to 44% and 80 to 65%). Sub-group analysis found this same statistically significative decrease at the popliteal and distal levels for stage 2 patients (72 to 38% and 81 to 53%). The popliteal level had a statically significative of “N or A” rate for the stage 2 and 4 (respectively from 46 to 77% and from 17 to 50%) and a statistically significative decrease of “CD” flux rate (respectively from 85 to 31% and from 56 to 11%). Altogether, 81% of the patients had a modification of at least one flux at one level.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03160579
Contributor : Ufr Santé Unicaen <>
Submitted on : Friday, March 5, 2021 - 12:38:45 PM
Last modification on : Tuesday, March 30, 2021 - 3:42:03 AM

File

DAUPHIN Jean.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03160579, version 1

Citation

Jean Dauphin. Modification de l’hémodynamique artérielle lors d’une revascularisation périphérique dans l’artériopathie oblitérante des membres inférieurs au stade d’ischémie d’effort ou de repos : analyse des flux Doppler selon la classification de Saint-Bonnet. Médecine humaine et pathologie. 2020. ⟨dumas-03160579⟩

Share

Metrics

Record views

7

Files downloads

9