| Patterns of recurrent disease after recanalization of femoropopliteal artery occlusions. | |
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MedLine Citation:
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PMID: 9211771 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: In this prospective study we investigated the site, occurrence, and development of stenoses and occlusions following recanalization of superficial femoral artery occlusions. METHODS: Recanalization of an occluded femoropopliteal artery was attempted in 62 patients. Follow-up examinations included clinical examination and color-flow duplex scanning at regular intervals. Arteriography was used to determine the localization of the recurrent disease relative to the initially occluded segment. RESULTS: During a mean follow-up of 23 months (range 0-69 months) 14 high-grade restenoses, indicated by a peak systolic velocity ratio >> 3.0, were detected by color-flow duplex scanning. Occlusion of the treated segment occurred in 11 patients. The cumulative 3-year primary patency rate for high-grade restenoses and occlusions combined was 44% (SE 9%). By arteriographic examination the site of restenosis was localized in the distal half of the treated vessel segment in 16 of 21 cases. CONCLUSION: Most restenoses and occlusions occurred during the first year and most disease developed at the previous intervention site. The site of restenosis is more frequently in the distal part of the initially treated segment, a finding that may have therapeutic implications. |
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Authors:
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D Vroegindeweij; A V Tielbeek; J Buth; L D Vos; H C van den Bosch |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 20 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 1997 Jul-Aug |
Date Detail:
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Created Date: 1997-07-30 Completed Date: 1997-07-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 257-62 Citation Subset: IM |
Affiliation:
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Department of Radiology, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography, Digital Subtraction Angioplasty, Balloon Arterial Occlusive Diseases / radiography, therapy*, ultrasonography Female Femoral Artery* / radiography, ultrasonography Humans Male Middle Aged Popliteal Artery* / radiography, ultrasonography Prospective Studies Recurrence Ultrasonography, Doppler |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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