Document Detail


Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy).
MedLine Citation:
PMID:  19828580     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstruct SFA was introduced. METHODS: A prospective cohort study was initiated with 17 patients treated with cryoplasty of the SFA after remote endarterectomy. Indications for surgery were claudication (n = 12), rest pain (n = 3), or tissue loss (n = 2). RESULTS: There were no technical failures. The Kaplan-Meier estimate of the primary and assisted primary patency rate after 1 year of follow-up was 74%. Secondary patency was 89%. Limb salvage was 100%. No aneurysmal degeneration and no other adverse events occurred during the follow-up. CONCLUSIONS: This pilot study showed that cryoplasty after remote SFA endarterectomy is a safe procedure, with promising patency rates.
Authors:
Suzanne S Gisbertz; Gert-Jan de Borst; Tim Th C Overtoom; Frans L Moll; Jean-Paul P M de Vries
Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2009-10-14
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  20-4     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, St Antonius Hospital, Nieuwegein, Netherlands. s.gisbertz@antonius.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Arterial Occlusive Diseases / complications,  diagnosis,  physiopathology,  surgery*
Constriction, Pathologic
Cryosurgery* / adverse effects
Endarterectomy* / adverse effects
Female
Femoral Artery / pathology,  physiopathology,  surgery*
Humans
Intermittent Claudication / etiology,  surgery
Kaplan-Meiers Estimate
Limb Salvage
Magnetic Resonance Angiography
Male
Middle Aged
Netherlands
Pilot Projects
Prospective Studies
Recurrence / prevention & control
Reoperation
Time Factors
Treatment Outcome
Vascular Patency

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


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