| Percutaneous transluminal angioplasty against arteriosclerosis obliterans in dialysis patients. | |
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MedLine Citation:
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PMID: 12579341 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The incidence of peripheral arteriosclerosis is on the increase in chronic hemodialysis patients. Recently, the intervention (IV) treatment is conducted to deal with this problem. IV was performed in 4 dialysis patients against the complication of arteriosclerosis obliterans (ASO) but the result was unsuccessful in 3 of them. These 3 failure cases were investigated to find the problems associated with percutaneous transluminal angioplasty (PTA). Cases 1, 2 and 3 had intermittent claudication while case 4 had gangrenous toes as the major complaint. The symptoms in these cases were attributable to 90-100% stenosis and occlusion of superficial femoral artery, bilateral iliac arteries, bilateral superficial femoral-popliteal artery, branch of right iliac artery and left iliac artery region, respectively. IV was successful in case 1 but failed in cases 2 and 4 because the catheter itself did not go through due to the severe stenosis of vessel or the procedure of forcefully dilating the vessel caused dispersion of minute thrombi. In case 3, acute myocardial infarction occurred at 10 h after successful IV, resulting in sudden death. In view of the extent of invasion, IV is a treatment method selected against ASO in dialysis patients. However, the method has a high risk of causing thrombus formation, vessel rupture and organ failure. In this regard, it is advisable to evaluate the systemic condition and conduct IV if the extent of stenosis is mild. |
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Authors:
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Kenji Tsuchida; Yoshiaki Takemoto; Kazunobu Sugimura; Rikio Yoshimura; Tatsuya Nakatani |
Publication Detail:
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Type: Case Reports; Comparative Study; Journal Article |
Journal Detail:
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Title: International journal of molecular medicine Volume: 11 ISSN: 1107-3756 ISO Abbreviation: Int. J. Mol. Med. Publication Date: 2003 Mar |
Date Detail:
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Created Date: 2003-02-11 Completed Date: 2004-01-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9810955 Medline TA: Int J Mol Med Country: Greece |
Other Details:
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Languages: eng Pagination: 365-8 Citation Subset: IM |
Affiliation:
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Department of Urology and Division of Artificial Kidney, Osaka City University Medical School, Abeno-ku, Osaka City 545-8586, Japan. ktsuchida@msic.med.osaka-cu.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon* / adverse effects Arteriosclerosis Obliterans / complications*, mortality, surgery, therapy* Female Femoral Artery / injuries, surgery Gangrene / therapy Humans Iliac Artery / injuries, surgery Intermittent Claudication / therapy Male Middle Aged Myocardial Infarction / therapy Popliteal Artery / injuries, surgery Renal Dialysis Thrombosis / etiology Treatment Failure Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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