Abstract |
The conventional balloon angioplasty of infrainguinal arteries requires the use of fluoroscopy and injection of contrast material. We attempted to perform 360 balloon angioplasties of the superficial femoral (SFA) and/or popliteal arteries under duplex guidance in 274 patients to avoid the nephrotoxic effect of contrast and eliminate or minimize radiation exposure. Critical ischemia was the indication in 35% of cases and severe claudication in 65%. Infrapopliteal angioplasties of 80 arteries were attempted in 54 cases (15% of all cases) in order to improve the run-off after completion of femoral-popliteal angioplasties. For femoral-popliteal segment, overall technical success was 95% (342/360 cases). For infrapopliteal arteries, technical success was achieved in 77 of 80 cases, with an overall success rate of 96%. Twelve-month patency rates for TASC class A, B, C, and D lesions were 90%, 59%, 52%, and 46%, respectively. PAVF <100 mL/min was the most powerful predictor of 30-day and 6-month arterial thrombosis following femoral/popliteal balloon angioplasties.Duplex-guided balloon angioplasty and stent placement appears to be a safe and effective technique for the treatment of femoral-popliteal and infrapopliteal arterial occlusive disease. PAVF <100 mL/min is the most powerful predictor of early (30 days) and midterm (6-month) arterial thrombosis following femoral-popliteal interventions.
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Authors | Enrico Ascher, Anil P Hingorani, Natalie Marks |
Journal | Perspectives in vascular surgery and endovascular therapy
(Perspect Vasc Surg Endovasc Ther)
Vol. 19
Issue 1
Pg. 23-31
(Mar 2007)
ISSN: 1531-0035 [Print] United States |
PMID | 17437974
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Angioplasty, Balloon
(methods)
- Arterial Occlusive Diseases
(therapy)
- Female
- Femoral Artery
- Humans
- Leg
(blood supply)
- Limb Salvage
- Male
- Middle Aged
- Popliteal Artery
- Stents
- Ultrasonography, Doppler, Duplex
- Vascular Patency
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