ANGIOPLASTY OF THE TERMINAL AORTA - FOLLOW-UP OF 20 PATIENTS TREATED BY PTA OR PTA WITH STENTS

被引:30
作者
ELASHMAOUI, A [1 ]
DO, DD [1 ]
TRILLER, J [1 ]
STIRNEMANN, P [1 ]
MAHLER, F [1 ]
机构
[1] UNIV BERN,INSELSPITAL,DEPT MED,DIV ANGIOL,CH-3010 BERN,SWITZERLAND
关键词
TRANSLUMINAL ANGIOPLASTY; AORTA; STENT PLACEMENT; ARTERIOSCLEROSIS; INTERVENTIONAL RADIOLOGY;
D O I
10.1016/0720-048X(91)90091-9
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Twenty patients with distal aortic stenosis were treated by PTA for intermittent claudication and, in 3, 'blue toe' syndrome. Additionally, a self-expandable endoprosthesis (stent) was inserted into the aorta in three of the patients. The overall primary success rate (including those with a stent) was 100% with all patients becoming free of symptoms. Mean arm-ankle pressure difference decreased from 48 mmHg to 9 mmHg (P < 0.01). During a median follow-up period of 15 months no patient had recurrence of claudication, embolism, or deterioration of the non-invasive parameters. Thus, PTA seems suitable for treating stenoses of the abdominal aorta, even in the presence of distal micro-embolization. Balloon dilatation, with the addition of stents in resistant cases, offers a valuable alternative to surgery in distal aortic stenosis.
引用
收藏
页码:113 / 117
页数:5
相关论文
共 23 条
  • [1] Dotter, Judkins, Transluminal treatment of atherosclerotic obstruction: description of a new technique and a preliminary report of its application, Circulation, 30, pp. 654-670, (1964)
  • [2] Gruntzig, Die perkutane transluminale Rekanalisation chronischer Arterienverschlüsse mit einer neuen Dilatationstechnik, (1977)
  • [3] Mahler, Katheter Interventionen in der Angiologie: Periphere Arterien, Nierenarterien, PTA und Thrombolyse, pp. 86-92, (1990)
  • [4] Mahler, Trends in percutaneous transluminal angioplasty (PTA) application of laser and new mechanical devices, Vascular Medicine, 1, pp. 35-50, (1990)
  • [5] Velasquez, Castaneda-Zuniga, Formanek, Zollikofer, Barreto, Nicoloff, Amplatz, Sullivan, Non-surgical aortoplasty in Leriche syndrome, Radiology, 134, pp. 359-360, (1980)
  • [6] Tegtmeyer, Wellons, Thompson, Balloon dilatation of the abdominal aorta, JAMA, 244, pp. 2636-2637, (1980)
  • [7] Grollmann, Delvicario, Mittal, Percutaneous transluminal abdominal aortic angioplasty, American Journal of Roentgenology, 134, pp. 1053-1054, (1980)
  • [8] Zorn-Bopp, Ingnisch, Mietaschk, Frey, Transluminale Gefässdilatation der distalen Bauchaorta, der A. iliaca communis und externa, Fortsch. Roentgenstr., 134, pp. 471-475, (1981)
  • [9] Heeney, Bookstein, Daniels, Warmath, Horn, Rowley, Transluminal angioplasty of the abdominal aorta, Radiology, 148, pp. 81-83, (1983)
  • [10] Yakes, Kumpe, Brown, Parker, Lattes, Cook, Haas, Gibson, Hopper, Reed, Cox, Bourne, Griffin, Percutaneous transluminal aortic angioplasty, Radiology, 172, pp. 965-970, (1989)