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
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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.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon* / adverse effects
Follow-Up Studies
Intermittent Claudication / therapy
Ischemia / therapy
Leg / blood supply*
Middle Aged

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