Document Detail


Percutaneous profundaplasty in the treatment of lower extremity ischemia: results of long-term surveillance.
MedLine Citation:
PMID:  11220474     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the procedural and long-term clinical outcomes of balloon angioplasty of the profunda femoris artery in patients with severe limb ischemia. METHODS: Thirty-one consecutive patients were evaluated for severe ischemia in 32 limbs: 13 (41%) were categorized Fontaine class 2B, and 19 (59%) were class 3 or 4. The superficial femoral artery was occluded in 20 (62%) limbs; an additional vessel was treated in 22 (69%) limbs. RESULTS: Procedural success was achieved in 91% (31/32) of limbs. The ankle-brachial index increased from 0.5 +/- 0.2 at baseline to 0.7 +/- 0.2 after intervention (p < 0.01). In-hospital limb salvage was 94% (30/32), and in-hospital event-free survival was 90% (28/31). At a mean follow-up of 34 +/- 20 months, no additional amputations were necessary; 3 patients required repeat revascularization, and 5 patients died. Freedom from revascularization was 88% in the 25 survivors. At follow-up, 88% of the patients had Fontaine class 1 or 2A symptoms, and only 12% had Fontaine class 2B or higher (p < 0.001 compared with baseline). CONCLUSIONS: These data suggest that percutaneous profundaplasty is safe, effective, and may be considered as an alternative to surgical therapy in patients with anatomically suitable lesions.
Authors:
J A Silva; C J White; S R Ramee; T J Collins; J S Jenkins; S Sabet; Q Shamaileh; K Vivekananthan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  8     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-02-23     Completed Date:  2001-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  75-82     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Ochsner Clinic, and the Alton Ochsner Medical Foundation, New Orleans, Louisiana 70121, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography
Angioplasty, Transluminal, Percutaneous Coronary*
Female
Femoral Artery / radiography
Follow-Up Studies
Humans
Ischemia / radiography,  surgery,  therapy*
Leg / blood supply*
Male
Middle Aged
Postoperative Complications
Retreatment
Survival Analysis

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


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