Manejo terapéutico de los traumatismos venosos

Aims. The aim of this study is to describe the techniques and methods used for non-invasive follow-up to endovascular procedures performed in the femoropopliteal segment (FPS). Development. Clinical evaluation in following up endovascular therapies lacks the sensitivity required to detect restenosis and reocclusion. Post-procedural ankle brachial index (ABI) testing is an essential tool in establishing the clinical follow-up, but is not sensitive enough to anticipate the complications that may arise. Treadmill exercise testing of lower limb claudication helps to improve this sensitivity and is advisable. Echo-Doppler is the ideal technique for monitoring patients who have undergone endoluminal surgery in the infrainguinal segment. As has already been shown in the monitoring of infrainguinal by-passes, echo-Doppler allows the restenosis phenomena to be visualised immediately after angioplasty and enables the surgical team to obtain initial results with excellent haemodynamic behaviour. The presence of increased systolic peak velocity. with high systolic velocity ratios during follow-up studies, also allows us to take preventive measures and ensures satisfactory primary assisted patency that is comparable to the results obtained in infrainguinal revascularisation by surgery. Conclusions. Despite the lack of solid evidence of the efficiency of the non-invasive monitoring of endovascular therapy of the FPS, carrying out ABI testing and post-surgical echo-Doppler with regular series of check-ups allows us to improve patency results in the short and medium term.