Document Detail

Laser angioplasty of peripheral arteries after unsuccessful recanalization of the superficial femoral artery.
MedLine Citation:
PMID:  12470365     Owner:  NLM     Status:  Publisher    
AIM: To demonstrate the range of applying laser angioplasty after unsuccessful recanalization of the superficial femoral artery (SFA) with conventional interventional techniques. MATERIALS AND METHODS: In a prospective trial in 94 cases with occlusion of the SFA and formerly unsuccessful conventional percutaneous transluminal angioplasty, laser angioplasty for recanalization was applied. The average occlusion length of the SFA was 17.5 cm (range 4-36 cm). The recanalization attempt was made using the crossover technique in 78 patients, in eight patients with the antegrade technique and in another eight patients using the transpopliteal technique. The primary recanalization attempt was performed with Terumo wires (curved and straight) as well as different catheters (Multipurpose/Vertebralis/Cobra). After the unsuccessful recanalization attempt the laser catheter was applied. RESULTS: The application of laser angioplasty demonstrated a successful recanalization of the SFA in 76/94 patients (80.9%). In 18 patients (19.1%) the recanalization was not possible even with percutaneous transluminal laser angioplasty (PTLA). The reason for the unsuccessful PTLA was in 10 cases due to obstructing calcified material, which was resistant to PTLA application. In four cases obstructing calcifications caused the laser catheter to be positioned in subintimal tissue, resulting in perforation of the SFA. In another four patients there was an aberrant anatomy of the SFA which resulted in a direct vessel injury after advancing the laser catheter. After a follow-up period of 12 months primary, primary-assisted and secondary patency rates were 50.0%, 65.8% and 73.7%, respectively. DISCUSSION: In primarily unsuccessful recanalization of the SFA, PTLA allows in 80% of cases a successful recanalization of the SFA. The technical success rate and the patency rate support the application of PTLA.
H J Steinkamp; M Werk; M Haufe; R Felix
Related Documents :
21687545 - Preoperative assessment of anomalous right coronary artery arising from the main pulmon...
2521735 - Obstruction to hepatic venous drainage after liver transplantation: treatment with ball...
21769825 - A case of multiple giant right coronary artery aneurysms.
21241855 - Midterm results with thoracic endovascular aortic repair for chronic type b aortic diss...
14608145 - Treatment of in-stent restenosis in a gastroepiploic artery coronary bypass graft with ...
18177385 - Extensive left ventricular to coronary artery connections in hypoplastic left heart syn...
Publication Detail:
Journal Detail:
Title:  International journal of cardiovascular interventions     Volume:  3     ISSN:  1462-8848     ISO Abbreviation:  Int J Cardiovasc Intervent     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2002-Dec-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815622     Medline TA:  Int J Cardiovasc Intervent     Country:  -    
Other Details:
Languages:  ENG     Pagination:  153-160     Citation Subset:  -    
Department of Radiology, Interventional Angiology, University Clinic Charité, Berlin, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Clinical and angiographic results with the NIR stent: First International NIR Endovascular Stent Stu...
Next Document:  In-hospital resource utilization in coronary angioplasty: the impact of increased coronary stenting ...