Document Detail


Evaluation of a conservative treatment with iloprost in severe peripheral occlusive arterial disease (POAD). GISAP Study.
MedLine Citation:
PMID:  7521384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
GISAP, a multicentre open study, was aimed to confirm the feasibility and safety of iloprost treatment in normal clinical practice and to identify subgroups of patients with severe POAD more likely to benefit from iloprost treatment than others. One hundred forty six patients were treated at the maximum tolerated dose of iloprost up to 2 ng/kg/min, 6 hours infusion per day, for a minimum of 3 weeks and a maximum of 8 weeks. Clinical efficacy was assessed by rest pain reduction, analgesic consumption, healing of trophic lesions, walking ability. A significant improvement of the efficacy parameters was recorded during and at the end of treatment: no difference between diabetics and non diabetics, stage III and IV patients was observed. After one year follow-up 10% major amputation and 6.8% death were recorded, these events were balanced between the diabetic and non diabetic patients. Overall 80% of the patients at risk of amputation at entry to the trial were alive with a viable limb after one year. Tolerability resulted quite acceptable. Even with the limitation of an open trial, it has been confirmed the therapeutic potential of iloprost in the treatment of POAD patients.
Authors:
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  13     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-10-05     Completed Date:  1994-10-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  70-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arterial Occlusive Diseases / drug therapy*
Diabetes Complications
Female
Humans
Iloprost / therapeutic use*
Male
Middle Aged
Treatment Outcome
Chemical
Reg. No./Substance:
78919-13-8/Iloprost
Comments/Corrections
Erratum In:
Int Angiol 1994 Dec;13(4):356

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


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