Document Detail


Initial results and subsequent outcome of laser thermal-assisted balloon angioplasty of 56 consecutive femoropopliteal lesions.
MedLine Citation:
PMID:  2143359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laser thermal-assisted balloon angioplasty (LABA) was prospectively applied in the treatment of 56 atherosclerotic femoropopliteal occlusive lesions in 51 consecutive patients. All procedures were performed in the operating room using a neodynium:yttrium-aluminum-garnet (Nd:YAG) laser source, and patients were evaluated for immediate and long-term hemodynamic and clinical improvement. Technically successful recanalization was achieved in 82% of cases, with 57% of all patients (32 of 56) obtaining early hemodynamic and clinical improvement. Long-term clinical success (by life-table analysis) was obtained by only 22.5% at 6 months, and only 13.5% at 12 months. Patients presenting with intermittent claudication did significantly better than those presenting for limb salvage (p = 0.01), and trends toward improved outcome were noted for short versus long lesions as well as for patients with "good" versus "poor" distal runoff (NS). Procedure-related morbidity occurred in 14%, and there was one peri-procedural mortality (1.8%). We conclude that the use of LABA is associated with long-term clinical success in only a small proportion of patients, and that widespread clinical application of this technique is not indicated at the present time.
Authors:
R L Feinberg; J R Wheeler; R T Gregory; S O Snyder; R G Gayle; F N Parent
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  160     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-09-11     Completed Date:  1990-09-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  166-9; discussion 169-70     Citation Subset:  AIM; IM    
Affiliation:
Division of Vascular Surgery, Eastern Virginia Graduate School of Medicine, Norfolk 23510.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / surgery*
Female
Femoral Artery / surgery*
Follow-Up Studies
Humans
Laser Therapy*
Life Tables
Male
Middle Aged
Popliteal Artery / surgery*
Prospective Studies

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


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