| Percutaneous management of occlusive arterial disease associated with vasculitis: a single center experience. | |
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MedLine Citation:
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PMID: 12525937 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to evaluate the safety and effectiveness of percutaneous transluminal angioplasty for occlusive arterial disease associated with vasculitis. Eleven patients (10 women, 1 man; ages 35-82 years) with the diagnosis of vasculitis of the large vessels underwent interventional treatment during intraarterial angiography. The causes included giant cell arteritis (n = 8) and Takayasu arteritis (n = 3). Thirty-three occlusive lesions (including brachiocephalic and renal arteries, and arteries of upper and lower extremities) were treated with balloon angioplasty and/or stent placement. Follow-up included clinical examination, angiography, and color duplex ultrasound. Technical success was 100% (25/25) for stenoses and 50% (4/8) for occlusive lesions, representing all lesions combined from different anatomic locations. Dissection (n = 3) and arterial rupture with retroperitoneal hematoma (n = 1) was found in three patients. During follow-up (mean 12 months), restenoses (n = 8) and re-restenoses (n = 1) occurred in 8 vascular areas. Three of these lesions were treated with repeated PTA (n = 4). The cumulative primary clinical success rate was 67.6%, cumulative secondary success rate 74.4%, and cumulative tertiary success rate 75.9%. Interventional therapy in systemic vasculitis provides promising results in technical success rates and followup. Angioplasty may result in arterial injury, but the rate of complications is low. |
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Authors:
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M Both; T Jahnke; E Reinhold-Keller; M Reuter; J Grimm; J Biederer; J Brossmann; W L Gross; M Heller; S Mueller-Huelsbeck |
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Publication Detail:
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Type: Journal Article Date: 2003-01-16 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 26 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2003 Jan-Feb |
Date Detail:
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Created Date: 2003-03-18 Completed Date: 2003-07-01 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: 19-26 Citation Subset: IM |
Affiliation:
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Department of Radiology, Christian-Albrechts-University of Kiel, Kiel, Germany. mboth@rad.uni-kiel.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angiography Angioplasty, Balloon* Arterial Occlusive Diseases / etiology, radiography, therapy* Female Humans Male Middle Aged Recurrence Stents* Treatment Outcome Vasculitis / complications, radiography, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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