Document Detail


Transluminal angioplasty of isolated crural arterial lesions in diabetics with critical limb ischemia.
MedLine Citation:
PMID:  16184838     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We investigated the long-term clinical results of transluminal angioplasty of isolated infrapopliteal arteries in diabetic patients with severe ischaemic foot lesions and the influence of different parameters on primary success, the long-term outcome and the survival rate.
PATIENTS AND METHODS: Between January 2001 and May 2004 we performed 50 transluminal angioplasties in 52 (10 female, 42 male, mean age 69.3 years) diabetics with isolated lesions of crural arteries (tibio-peroneal trunk 41, anterior tibial 13, posterior tibial 5, peroneal artery 14) and limb threatening ischaemia (rest pain 12, tissue loss 40). In two patients the dilatation could not be performed due to vessel perforation and impossibility to catheter localization. The morphological classification of infrapopliteal lesions was determined according to guidelines provided by TransAtlantic Inter-Society Consensus (TASC) (17 type A, 16 type B, 13 type C, 4 type D).
RESULTS: Initial technical success after angioplasty of crural arteries could be obtained in 96%. Kaplan-Meier analysis showed a cumulative limb salvage of 92%, 85% and 68,9% after 6 months, one and two years, respectively. Patients falling in TASC group C had significantly higher risk of amputation. Overall survival at I year was calculated at 85% and at 2 years at 65%.
CONCLUSION: Our results suggest that depending on the extent of lesions transluminal angioplasty of infrapopliteal artery stenoses and occlusions is considered as an effective and save therapy modality to avoid limb loss in diabetics with critical ischemia.
Authors:
F Sigala; Ch Menenakos; P Sigalas; Ch Baunach; St Langer; E Papalambros; W Hepp
Related Documents :
1969258 - Use of vein-patch angioplasty in microvascular tissue transfers.
1827838 - Fatal rupture of the intracranial carotid artery during transluminal angioplasty for va...
10943788 - Preoperative intraarterial thrombolysis before surgical revascularization for popliteal...
21715418 - Long-term outcome of popliteal artery aneurysms after ligation and bypass.
16502178 - Endovascular treatment of a vertebral artery pseudoaneurysm in a drug user.
8179578 - Coronary atherosclerotic smooth muscle cells overexpress human parathyroid hormone-rela...
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  34     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-09-27     Completed Date:  2005-11-07     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  186-91     Citation Subset:  IM    
Affiliation:
Kplus Vascular Centre Haan, Department of Vascular and Endovascular Surgery, St. Josef Hospital Haan GmbH, Haan, Germany. rizzo@k-plus.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Amputation / statistics & numerical data
Angioplasty, Balloon / statistics & numerical data*
Comorbidity
Diabetes Mellitus / mortality*,  surgery*
Diabetic Foot / mortality*,  surgery*
Female
Germany / epidemiology
Humans
Incidence
Ischemia / mortality*,  surgery*
Leg / blood supply,  surgery
Male
Middle Aged
Prognosis
Reoperation / statistics & numerical data
Risk Assessment / methods
Risk Factors
Severity of Illness Index
Survival Rate
Treatment Outcome

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


Previous Document:  Dilatation of the entire thoracic aorta in patients with bicuspid aortic valve: a magnetic resonance...
Next Document:  Iatrogenic injuries of the carotid arteries.