Document Detail

Outcome in patients with failed percutaneous transluminal angioplasty for peripheral vascular disease.
MedLine Citation:
PMID:  2974849     Owner:  NLM     Status:  MEDLINE    
The outcome in 299 patients having 321 percutaneous transluminal angioplasty (PTA) procedures for peripheral vascular disease was analysed. Technical failure occurred in 21 patients (7%) but in none was the limb ischemia made worse by the failed PTA attempt; nine of these (3%) had been considered unsuitable for arterial reconstruction and proceeded to primary amputation, while 12 (4%) did not have subsequent management compromised by the failed PTA attempt. Complications occurred in seven patients (2.3%); four of these (1.3%) had worsening ischemia but were able to be satisfactorily managed by surgical intervention. There were 71 patients (23.7%) who had an initially successful PTA procedure which subsequently failed; 20 of these (6.7%) had been considered unsuitable for arterial reconstruction and proceeded to amputation, while five patients suitable for arterial reconstruction (1.7%) came to amputation, four following failed bypass surgery and one following multiple trauma from a motor vehicle accident. The remaining 46 patients (15.3%) did not have subsequent management compromised by the late failure of PTA. Early and late failure of PTA in patients presenting with peripheral vascular disease does not compromise subsequent management.
J P Fletcher; L Z Kershaw
Related Documents :
21682119 - Management of massive hemorrhage in patients with gestational trophoblastic neoplasia b...
6890719 - Prostaglandin e1 in severe raynaud's phenomenon.
22147839 - Catheter ablation of right atrial ganglionated plexi in patients with vagal paroxysmal ...
1514889 - Lower extremity amputation in scleroderma.
12778379 - In utero limb salvage: fetoscopic release of amniotic bands for threatened limb amputat...
12457089 - A rare condition of hand-schüller-christian disease.
23670709 - Evaluation of thyroid diseases and differentiated thyroid cancer in acromegalic patients.
12765889 - Sedation caused by clonidine in patients with spinal cord injury.
7697959 - D-penicillamine induced myasthenia gravis in rheumatoid arthritis: an unpredictable com...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  29     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1988 Nov-Dec
Date Detail:
Created Date:  1989-02-22     Completed Date:  1989-02-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  733-5     Citation Subset:  IM    
Department of Surgery, University of Sydney, New South Wales, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Angioplasty, Balloon* / adverse effects
Follow-Up Studies
Intermittent Claudication / therapy
Ischemia / therapy
Leg / blood supply*
Middle Aged

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

Previous Document:  Spectrum analysis of turbulence in the canine ascending aorta measured with a hot-film anemometer.
Next Document:  Mixed lymphocyte reactions do not predict severity of graft versus host disease (GVHD) in HLA-DR com...