| Vibrational angioplasty in the treatment of chronic infrapopliteal arterial occlusions: preliminary experience. | |
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MedLine Citation:
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PMID: 12546592 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the safety and efficacy of vibrational angioplasty in chronic infrapopliteal arterial occlusions. METHODS: Twelve patients (9 men, aged 54 to 90 years) with 13 below-knee arterial chronic total occlusions were treated percutaneously using vibrational angioplasty. The occlusions were located in the anterior tibial artery (n=5), the tibioperoneal trunk (n=4), the peroneal artery (n=1), the posterior tibial artery (n=1), and in both the tibioperoneal trunk and peroneal artery (n=2). The length of the lesions ranged from 5 to 14 cm. RESULTS: Recanalization was successful in 12 (92.3%) lesions. In 1 case, the wire perforated the arterial wall; the procedure was abandoned without clinical sequelae. The time to cross the occlusions with the wire ranged from 6 to 19 minutes. No other complications were observed. Clinical follow-up ranged to 18 months. Ten patients with ulceration or gangrene demonstrated good wound healing, and pain was alleviated in all successfully treated patients. CONCLUSIONS: Vibrational angioplasty appears feasible as a means of safely recanalizing chronic total occlusions of the infrapopliteal arteries. Further experience should be acquired to assess its short- and long-term effects on this vascular territory. |
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Authors:
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Dimitrios K Tsetis; Lampros K Michalis; Michael R Rees; Asterios N Katsamouris; Miltiadis I Matsagas; Christos S Katsouras; Dimitrios A Sideris; Nicholas C Gourtsoyiannis |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 9 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2003-01-27 Completed Date: 2003-05-30 Revised Date: 2004-11-17 |
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: 889-95 Citation Subset: IM |
Affiliation:
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Department of Radiology, University Hospital of Heraklion, Crete, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Amputation Angioplasty, Balloon* Arterial Occlusive Diseases / complications, therapy* Chronic Disease Female Femoral Artery / radiography, surgery Follow-Up Studies Foot Ulcer / etiology, surgery Humans Male Middle Aged Popliteal Artery / radiography, surgery* Postoperative Complications / etiology, surgery Reoperation Tibial Arteries / radiography, surgery Treatment Outcome Wound Healing / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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