Document Detail


Comparison of cryoplasty and conventional angioplasty for treating stenotic-occlusive lesions of the femoropopliteal arteries in diabetic patients: immediate, mid-term and long-term results.
MedLine Citation:
PMID:  22327920     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The authors compared the immediate, mid-term and long-term effectiveness of cryoplasty and conventional angioplasty for treating stenotic-occlusive lesions of the femoropopliteal arteries in diabetic patients.
MATERIALS AND METHODS: From October 2006 to November 2009, 48 patients with non-insulin-dependent diabetes mellitus (DM) and an indication for percutaneous revascularisation of the femoropopliteal arteries were randomly assigned to treatment with angioplasty or cryoplasty. The following parameters were analysed and compared between the two groups: immediate technical success (residual stenosis <30%) and distal run-off as assessed on postprocedural angiography, and degree of restenosis and distal run-off at 6 and 12 months, as assessed with either colour Doppler ultrasound (CDUS) or digital subtraction angiography (DSA).
RESULTS: Treatment with angioplasty revealed a significant superiority in procedural technical success (p=0.04), a significant reduction in the degree of restenosis at 6 months (p=0.02) and a significant increase in the distal run-off at 6 (p=0.005) and 12 (p=0.01) months.
CONCLUSIONS: Conventional angioplasty is more effective than cryoplasty for treating stenotic-occlusive lesions of the femoropopliteal arteries in diabetic patients and provides better immediate, mid-term and long-term results.
Authors:
R Fossaceca; G Guzzardi; M Di Terlizzi; I Divenuto; E Malatesta; P Cerini; C Cusaro; A Carriero
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2012-02-10
Journal Detail:
Title:  La Radiologia medica     Volume:  117     ISSN:  1826-6983     ISO Abbreviation:  Radiol Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  2013-01-04     Revised Date:  2013-04-26    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  1176-89     Citation Subset:  IM    
Affiliation:
S.C.D.U Radiodiagnostica e Radiologia Interventistica, A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy. rfossaceca@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography, Digital Subtraction
Angioplasty / methods*
Arterial Occlusive Diseases / etiology,  radiography,  therapy*,  ultrasonography
Cryotherapy / methods*
Diabetes Mellitus, Type 2 / complications*
Female
Femoral Artery / pathology*
Humans
Leg / blood supply*
Male
Popliteal Artery / pathology*
Treatment Outcome
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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