INFRAPOPLITEAL PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY - A SAFE AND SUCCESSFUL PROCEDURE

被引:69
作者
VARTY, K [1 ]
BOLIA, A [1 ]
NAYLOR, AR [1 ]
BELL, PRF [1 ]
LONDON, NJM [1 ]
机构
[1] LEICESTER ROYAL INFIRM,DEPT SURG,LEICESTER LE2 7LX,LEICS,ENGLAND
关键词
ANGIOPLASTY; INFRAPOPLITEAL; CRURAL; STENOSIS; OCCLUSION;
D O I
10.1016/S1078-5884(05)80141-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim: To review outcome of 40 consecutive infrapopliteal percutaneous transluminal angioplasty (PTA) procedures performed over a 65 month period. Chief outcome measures: The indication for PTA was intermittent claudication in 20 (50%) cases and rest pain, ulceration or gangrene in the remainder. Results: There was one technical failure; the remaining 39 limbs were all clinically improved by 24 h and this improvement teas maintained at 3 months in 36 (90%). There were no deaths nor limb loss related to PTA and 2 embolic complications were successfully treated percutaneously. The primary and secondary symptomatic patencies at 24 months were 59 and 79% respectively. The actuarial limb salvage rate at I year for the 20 limbs presenting with critical ischaemia was 77%, and 10 of the 14 procedures performed for ulceration or gangrene resulted in healing with only minor surgical intervention. Conclusions: With modern endovascular techniques, infrapopliteal PTA is a safe, worthwhile and durable procedure.
引用
收藏
页码:341 / 345
页数:5
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