Document Detail


The role of "cutting" balloon angioplasty for the treatment of short femoral bifurcation steno-obstructive disease.
MedLine Citation:
PMID:  20098989     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was designed to report our experience with "cutting" balloon angioplasty (CBA) for the treatment of short femoral bifurcation arterial stenosis. Between March 2005 and September 2007, 18 consecutive patients who were high-risk for surgery with critical limb ischemia or severe lifestyle-limiting claudication underwent "cutting" balloon angioplasty (4-6 mm diameter/15-20-mm length) for the treatment of 27 focal (<3 cm) severe fibro-calcified stenosis of the common femoral artery (n = 14) and/or the proximal part of the superficial femoral artery (n = 6) or profunda femoris (n = 7). Baseline patient demographic data, pre- and post-procedural patient clinical data, and procedural results were recorded. Follow-up consisted of clinical check-up and color duplex ultrasonography (CDU) examination 1, 3, 6, 12, and 18 months after the procedure. All endovascular treatments were successfully performed with clinical success obtained for all patients. No complications occurred during all treatments and no patient required surgical conversion or placement of a stent because of recoil, dissection, or arterial tears. No acute vessel closure was registered. During a mean follow-up of 9.4 (range, 6-18) months, endovascular treatment (CBA) was performed for restenosis/occlusion of seven lesions (25.9%) in four patients, whereas surgical treatment (endarterectomy with patch) for restenosis/occlusion of three lesions (11.1%) was performed in two patients with a consequent reintervention rate of 37%. Primary and secondary patency rates were 84.6 and 88.4% at 6 months and 57.9 and 79.6% at 12 months, respectively. No major limb amputation was performed, with a 12-month limb salvage rate of 88.9%. CBA seems to be a valuable tool for the endovascular treatment of focal femoral bifurcation stenotic lesions for patients who are poor candidates for surgery.
Authors:
Antonio Raffaele Cotroneo; Roberto Iezzi
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Publication Detail:
Type:  Journal Article     Date:  2010-01-23
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  33     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-07     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  921-8     Citation Subset:  IM    
Affiliation:
Department of Clinical Science and Bioimaging, Section of Radiology, University G. D'Annunzio, Chieti, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography, Digital Subtraction
Angioplasty, Balloon / instrumentation,  methods*
Arterial Occlusive Diseases / radiography*,  therapy*
Female
Femoral Artery*
Follow-Up Studies
Humans
Intermittent Claudication / radiography,  therapy
Kaplan-Meier Estimate
Male
Pilot Projects
Popliteal Artery*
Retrospective Studies
Risk Assessment
Statistics, Nonparametric
Stents
Time Factors
Treatment Outcome
Vascular Patency / physiology

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


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