PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY OF TIBIAL ARTERIES FOR LIMB SALVAGE

被引：43

作者：

SAAB, MH ^{[1
]}

SMITH, DC ^{[1
]}

AKA, PK ^{[1
]}

BROWNLEE, RW ^{[1
]}

KILLEEN, JD ^{[1
]}

机构：

[1] LOMA LINDA UNIV,MED CTR,DEPT RADIOL,11234 ANDERSON ST,LOMA LINDA,CA 92354

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1992年 / 15卷 / 04期

关键词：

ARTERIES; STENOSIS; TIBIAL; TRANSLUMINAL ANGIOPLASTY;

D O I：

10.1007/BF02733924

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Percutaneous transluminal balloon angioplasty (PTA) was performed in 17 tibial arteries with an average cross-sectional area stenosis of 92% (range 75-99%) in 13 patients (14 limbs) for limb salvage. In 4 of 14 lower extremities, PTA of femoropopliteal arteries was also performed. Technical success with 50% or less residual stenosis was achieved in all 17 tibial vessels. At approximately 2 months after PTA, clinical improvement had occurred in 10 of 14 limbs; no patient was made worse. Most recent follow-up (mean 19 months, range 8-34 months) revealed continued satisfactory clinical success with no further vascular intervention in 9 of these 10 limbs (one patient died). Short segmental stenoses, residual stenoses less than 40% following PTA, and absence of diabetes or gangrene appear to be predictors of favorable clinical outcomes. Our results suggest that PTA of focal tibial stenosis is an effective and safe treatment modality in properly selected patients and that wider use of PTA may be justified.

引用

页码：211 / 216

页数：6

共 10 条

[1]

Schwarten D.E., Cutliff W.B., Arterial occlusive disease below the knee: Treatment with percutaneous transluminal angioplasty performed with low-profile catheters and steerable guide wires, Radiology, 169, pp. 71-74, (1988)

[2]

Brown K.T., Schoenberg N.Y., Moore E.D., Saddekni S., Percutaneous transluminal angioplasty of infrapopliteal vessels: Preliminary results and technical considerations, Radiology, 169, pp. 75-78, (1988)

[3]

Bakal C.W., Sprayregen S., Scheinbaum K., Cynamon J., Veith F.J., Percutaneous transluminal angioplasty of the infrapopliteal arteries: Results in 53 patients, Am J Roentgenol, 154, pp. 171-174, (1990)

[4]

Greenfield A.J., Femoral, popliteal, and tibial arteries: Percutaneous transluminal angioplasty, Am J Roentgenol, 135, pp. 927-935, (1980)

[5]

Sprayregen S., Sniderman K.W., Sos T.A., Vieux U., Singer A., Veith F.J., Popliteal artery branches: Percutaneous transluminal angioplasty, Am J Roengenol, 135, pp. 945-950, (1980)

[6]

Tamura S., Sniderman K.W., Beinart C., Sos T.A., Percutaneous transluminal angioplasty of popliteal artery and its branches, Radiology, 143, pp. 645-648, (1982)

[7]

Dotter C.T., Judkins M.P., Transluminal treatment of arteriosclerotic obstruction: Description of a new technique and a preliminary report of its application, Circulation, 30, pp. 654-670, (1964)

[8]

Schwarten D.E., Extracardiac uses for the steerable coronary balloon systems, Ann Radiology, 29, pp. 120-126, (1986)

[9]

Taylor L.M., Edwards J.M., Phinney E.S., Porter J.M., Reversed vein bypass to infrapopliteal arteries: Modern results are superior to or equivalent to in-situ bypass for patency and for vein utilization, Ann Surg, 205, pp. 90-97, (1987)

[10]

Brinton M.H., Stahla C., Gibbons G., Lower extremity revascularization with in-situ saphaneous vein for critical ischemia, Am J Surg, 155, pp. 701-703, (1988)

← 1 →