Document Detail


Endovascular treatment of Angio-Seal-related limb ischemia--primary results and long-term follow-up.
MedLine Citation:
PMID:  20146317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To investigate primary success rates and long term follow-up of endovascular treatment of AngioSeal-related limb ischemia. BACKGROUND: Current knowledge on optimal therapy of ischemic complications following application of AngioSeal is limited. METHODS: A single-center prospectively maintained database was retrospectively interrogated and AngioSeal-related complications requiring endovascular treatment over an 8-year-time period was identified. RESULTS: Fifteen patients fulfilling the inclusion criteria were identified, resulting in an approximated incidence of 0.26% of all devices implanted at our institution. In all cases, the complication was managed successfully in the absence of complications. Eleven patients were treated with balloon angioplasty (PTA) and four with stent implantation because of suboptimal PTA results. Twelve patients were available for noninvasive vascular follow-up examination for a median time of 40 months postinterventionally. Only two patients needed a second intervention consisting of balloon angioplasty due to symptomatic restenosis. At final follow-up all patients were asymptomatic with no relevant restenosis. CONCLUSION: Endovascular treatment for AngioSeal-related limb ischemia with or without stent implantation results in an excellent immediate and long-term clinical and hemodynamic outcome.
Authors:
Christoph Thalhammer; Gian R Joerg; Marco Roffi; Marc Husmann; Thomas Pfammatter; Beatrice R Amann-Vesti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-30     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  823-7     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Wiley-Liss, Inc.
Affiliation:
Clinic for Angiology, University Hospital of Zurich, Switzerland. christoph.thalhammer@usz.ch
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography
Angioplasty, Balloon*
Catheterization, Peripheral
Collagen / therapeutic use*
Female
Femoral Artery / surgery
Hemostatic Techniques / instrumentation*
Humans
Intermittent Claudication / therapy*
Ischemia / therapy*
Leg / blood supply
Male
Middle Aged
Punctures / adverse effects
Stents*
Treatment Outcome
Chemical
Reg. No./Substance:
9007-34-5/Collagen
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2010 May 1;75(6):828-9   [PMID:  20432386 ]

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