| Haemodynamic results of femoropopliteal percutaneous transluminal angioplasty. | |
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MedLine Citation:
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PMID: 9715710 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine the utility of percutaneous transluminal angioplasty (PTA) of the femoropopliteal segment in patients with claudication and critical leg ischaemia (CLI). DESIGN: Longitudinal observational study. SETTING: A university based vascular surgical centre. MATERIAL: Ninety-five patients with stenosing or occlusive arterial lesions of the femoropopliteal segment underwent 52 primary PTA for claudication and 50 primary PTA for CLI. METHODS: The procedure was considered haemodynamically successful when the increase of immediate postprocedural ABI was 0.15 or more. The criterion for haemodynamic success during follow-up was an ABI having not decreased by more than 0.15 from the immediate postprocedural level. The run-off arteries were graded according to the scoring system proposed by the SVS/ISCVS. RESULTS: Among the technically successful procedures (83%), the haemodynamic success rate was 77% at 1 month, 55% after 1 year, and 51% after 2 years. The cumulative haemodynamic success rates were 83%, 66% and 61% in claudicants, and 70%, 42%, and 38% in CLI (p = 0.03). In patients with a run-off score < or = 7.5, the success rates were 84%, 67%, and 60%, respectively, whereas in those with a crural score > 7.5 these were 61%, 39%, and 39%, respectively (p = 0.04). CONCLUSIONS: The haemodynamic results suggest that PTA to the femoropopliteal segment is seldom a procedure of choice for critically ischaemic legs with poor run-off. The run-off score is useful in identifying patients who may benefit from PTA. |
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Authors:
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A Albäck; F Biancari; S Schmidt; P Mikkola; I Kantonen; S Mätzke; S Peltonen; O Saarinen; E Tierala; J Edgren; M Lepäntalo |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 16 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 1998 Jul |
Date Detail:
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Created Date: 1998-09-04 Completed Date: 1998-09-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 7-12 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Helsinki University Central Hospital, Finland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Angioplasty, Balloon* Data Interpretation, Statistical Female Femoral Artery* Follow-Up Studies Hemodynamics Humans Intermittent Claudication / therapy* Ischemia / therapy* Leg / blood supply* Longitudinal Studies Male Middle Aged Popliteal Artery* Prospective Studies Software Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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