Document Detail

The results of subintimal angioplasty in a district general hospital.
MedLine Citation:
PMID:  12443748     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES AND DESIGN: we report a prospective study to determine if subintimal angioplasty can be performed in non-teaching centres and to establish its learning curve. MATERIALS AND METHODS: subintimal angioplasty was performed on 50 limbs in 46 patients (34 male) with a median age of 72 years (range 45-93 years). Indication was critical limb ischaemia (27 limbs) or intermittent claudication (23 limbs). Occlusions were located in the superficial femoral artery in 44 limbs, popliteal artery in 4 limbs and the peroneal artery in two limbs. At a median of 7.9 months patients had colour duplex imaging of the vessels that underwent angioplasty to assess vessel patency. RESULTS: primary technical success was achieved in 39 cases (78%). Primary technical success was greater in the second group of 25 consecutive limbs to undergo angioplasty at 92% (23 cases) compared with the first 25 consecutive limbs at 64% (16 cases). At 6 months the overall vessel patency rate on duplex imaging was 57%, improving to 64% in the group having a primarily successful procedure. The equivalent rate of symptomatic improvement was 59 and 66% respectively. Complications occurred in five procedures, most were minor, but a single fatality was directly attributable to the procedure. CONCLUSION: subintimal angioplasty can reasonably be performed outside major teaching institutions. There is a short learning curve associated with the procedure.
M B K Shaw; M DeNunzio; D Hinwood; R Nash; K G Callum; B D Braithwaite
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  24     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-21     Completed Date:  2003-01-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  524-7     Citation Subset:  IM    
Department of Surgery, Derbyshire Royal Infirmary, London Road, Derby, UK.
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MeSH Terms
Aged, 80 and over
Angioplasty / education*,  statistics & numerical data*
Clinical Competence / statistics & numerical data*
Follow-Up Studies
Hospitals, General / statistics & numerical data*
Middle Aged
Outcome Assessment (Health Care) / statistics & numerical data*
Peripheral Vascular Diseases / physiopathology,  surgery*,  ultrasonography
Prospective Studies
Time Factors
Tunica Intima / physiopathology,  surgery*,  ultrasonography
Ultrasonography, Doppler, Color
Vascular Patency / physiology

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

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