Document Detail


Cutting balloon angioplasty of the popliteal and infrapopliteal vessels for symptomatic limb ischemia.
MedLine Citation:
PMID:  14696150     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Options for lower limb percutaneous revascularization are limited especially for complex vessel obstruction. Cutting balloon angioplasty (CBA) has been described in the coronary literature as effective for complex disease. We analyzed our peripheral vascular database and report procedural outcomes along with the clinical success at a mean of 1-year follow-up in 73 patients with symptomatic lower limb ischemia undergoing CBA. CBA was successfully completed in all 73 patients (93 vessels; 100%) with predilation necessary in 4% of vessels. Severe intimal dissection or inadequate hemodynamic result necessitated in adjunctive stenting in 20%. There were no incidents of vessel perforation or surgical target vessel revascularization. One patient (1.5%) died during the periprocedural period due to renal failure. After mean follow-up of 1 year (6-21 months), 89.5% of threatened limbs were salvaged. CBA is a safe and feasible option for the treatment of popliteal and infrapopliteal vessels.
Authors:
Gary M Ansel; Nancy S Sample; Charles F Botti III; Amy J Tracy; Mitchell J Silver; Brian J Marshall; Barry S George
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  61     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-29     Completed Date:  2004-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-4     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Wiley-Liss, Inc.
Affiliation:
MidOhio Cardiology and Vascular Consultants, Inc., Columbus, Ohio 43214, USA. gma@mocc.cc
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / therapy*
Arteries
Female
Humans
Ischemia / therapy*
Lower Extremity / blood supply*
Male
Middle Aged
Popliteal Artery*
Retrospective Studies
Treatment Outcome

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


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