| Percutaneous profundaplasty in the treatment of lower extremity ischemia: results of long-term surveillance. | |
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MedLine Citation:
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PMID:Â 11220474 Â Â Â Owner:Â NLM Â Â Â Status:Â MEDLINE Â Â Â |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article    |
Journal Detail:
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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:
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Created Date:Â 2001-02-23 Â Â Â Completed Date:Â 2001-03-08 Â Â Â Revised Date:Â 2004-11-17 Â Â Â |
Medline Journal Info:
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Nlm Unique ID: 100896915    Medline TA: J Endovasc Ther    Country: United States    |
Other Details:
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Languages: eng    Pagination: 75-82    Citation Subset: IM    |
Affiliation:
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Department of Cardiology, Ochsner Clinic, and the Alton Ochsner Medical Foundation, New Orleans, Louisiana 70121, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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