Document Detail


Current developments in interventional treatment of total terminal aortic occlusions--laser, stenting and balloon angioplasty: experience of cardiology clinic of Târgu-Mureş.
MedLine Citation:
PMID:  16812982     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The importance of interventional procedures in the complex treatment of peripheral arterial diseases is continuously increasing. In the current practice of our clinic, association of balloon angioplasty, laser angioplasty and arterial stenting in reconstruction of iliac arteries led to superior results in the latest years, these methods 11:42 PM 11:42 PM 11:42 PM being proved as an alternative to surgical interventions. In this article, we present several cases in which current indications for laser angioplasty were extended to target occlusions located in the terminal abdominal aorta. METHODS: 106 consecutive primary iliac interventions were performed on 88 patients with iliac or aortoiliac obstructive diseases, in the period September 2001 - October 2005, at the University of Medicine and Pharmacy of Târgu-Mureş, Romania, Clinic of Cardiology. Five of these patients (4 males, 1 female) presented occlusions of terminal aorta, in whom interventional treatment (peripheral transluminal angioplasty, laser angioplasty and stenting) was performed. Three cases presented total occlusion of terminal aorta, without any visualization of iliac arteries, and 2 cases presented occlusion of one aortoiliac axis, starting from terminal aorta. RESULTS: In all cases, complete repermeabilisation of aortoiliac axes was achieved, without complications. In all patients we recorded a significant improvement of symptomatology, and arterial Doppler showed an increase of Doppler ankle/brachial index in average from 0.4 up to 0.95. No complications have been recorded so far. CONCLUSION: Extension of classical indications of interventional treatment for balloon and laser angioplasty to occlusions located in terminal aorta is possible when the procedure is performed by an experienced team. Interventional techniques, having a superior applicability in practice, good results, low complication rates, and decreasing the hospitalization times, could be applied in the future to a larger extent, targeting also aortic occlusions.
Authors:
I Benedek; Theodora Hintea
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Romanian journal of internal medicine = Revue roumaine de médecine interne     Volume:  43     ISSN:  1220-4749     ISO Abbreviation:  Rom J Intern Med     Publication Date:  2005  
Date Detail:
Created Date:  2006-07-03     Completed Date:  2006-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304507     Medline TA:  Rom J Intern Med     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  223-32     Citation Subset:  IM    
Affiliation:
Clinic of Cardiology, Emergency Clinical Hospital Mureş Târgu-Mureş, Romania. ibenedek@orizont.net
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon, Laser-Assisted*
Aorta, Abdominal / pathology,  surgery*
Aortic Diseases / pathology,  surgery*
Arterial Occlusive Diseases / pathology,  surgery*
Combined Modality Therapy
Female
Humans
Male
Romania
Stents*
Treatment Outcome

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


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