Document Detail


Vibrational angioplasty in the treatment of chronic infrapopliteal arterial occlusions: preliminary experience.
MedLine Citation:
PMID:  12546592     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
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:
Created Date:  2003-01-27     Completed Date:  2003-05-30     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:  889-95     Citation Subset:  IM    
Affiliation:
Department of Radiology, University Hospital of Heraklion, Crete, Greece.
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MeSH Terms
Descriptor/Qualifier:
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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