Document Detail


Vibrational angioplasty in the treatment of chronic femoropopliteal arterial occlusions: preliminary experience.
MedLine Citation:
PMID:  11797979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the safety and efficacy of vibrational angioplasty in chronic femoropopliteal arterial occlusions. METHODS: Six patients (5 men; ages 52 to 84 years) with peripheral arterial occlusive disease were treated percutaneously using vibrational angioplasty to recanalize the lesion. Three occlusions ranging from 10 to 15 cm long were in the superficial femoral artery (SFA), while 3 other diffusely diseased popliteal arteries were occluded distally (length from 3.5 to 4.5 cm). Vibrational angioplasty using coronary equipment was applied to assist passage of a coronary guidewire, which was followed by conventional angioplasty. Follow-up surveillance featured periodic physical examination, ankle brachial index measurements, and duplex scanning. RESULTS: In all 6 cases, recanalization of the occlusions was successful and without complications. The time to cross the occlusions with the wire ranged from 20 to 25 minutes for the SFA lesions and from 4 to 10 minutes for the popliteal occlusions. Two SFA occlusions were treated with stent implantation. Over a follow-up of 3 to 9 months, all treated vessels were patent. In 3 patients with skin ulcers, healing of the ulcers was observed. CONCLUSIONS: Vibrational angioplasty using coronary guidewires seems to be a promising ancillary technique in the management of chronic femoropopliteal arterial occlusions.
Authors:
L K Michalis; D K Tsetis; A N Katsamouris; M R Rees; D A Sideris; N C Gourtsoyiannis
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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 Dec 
Date Detail:
Created Date:  2002-01-18     Completed Date:  2002-05-21     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:  615-21     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University Hospital of Ioannina, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angioplasty, Balloon / instrumentation,  methods*
Arterial Occlusive Diseases / surgery,  therapy*
Female
Femoral Artery*
Follow-Up Studies
Humans
Intermittent Claudication / therapy
Male
Middle Aged
Pilot Projects
Popliteal Artery*
Vibration / therapeutic use*

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


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