Document Detail


Laser angioplasty: results of a prospective, multicenter study at 3-year follow-up.
MedLine Citation:
PMID:  1987588     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective multicenter trial was initiated to evaluate the efficacy and safety of laser angioplasty. Laser recanalization was performed in 338 patients with arteriosclerotic femoropopliteal artery occlusions (average length, 8.5 cm). Neodymium-yttrium-aluminum-garnet lasers were used in combination with sapphire probe catheters. The initial recanalization rate was 85%. Complications were observed in 14% of the patients. Emergency surgery was required in 1.5%. The cumulative long-term patency rate of the successfully recanalized arteries was 80%, 70%, 62%, and 57% at 6 months, 1 year, and 2 and 3 years, respectively. The patency rates were not affected by the length of the occlusion and the long-term medication (platelet inhibition vs anticoagulation), but patients with a normal runoff had significantly better patency rates than those with reduced runoff (63% vs 52%, P less than .01). The study has shown that laser-assisted angioplasty is safe and at least as effective as conventional angioplasty.
Authors:
J Lammer; E Pilger; F Karnel; H Schurawitzki; W Horvath; M Riedl; H Umek; G E Klein; H Schreyer; G Kretschmer
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  Radiology     Volume:  178     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-02-20     Completed Date:  1991-02-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  335-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Karl Franzens University, Graz, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Laser* / adverse effects
Arterial Occlusive Diseases / surgery*
Female
Femoral Artery*
Follow-Up Studies
Humans
Male
Middle Aged
Popliteal Artery*
Prospective Studies
Recurrence
Vascular Patency

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


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