[Management of anastomotic stenosis after lower extremity bypass surgery with cutting balloon angioplasty].

Autor:	Kobeiter H; Service d'Imagerie médicale, CHU Henri Mondor, 51, avenue du Maréchal de Lattre de Tassigny, 94010 Créteil. hicham.kobeiter@hmn.aphp.fr, Jourdan G, Deux J, Rahmouni A, Lapeyre M, Luciani A, You K, Becquemin J, Desgranges P
Jazyk:	francouzština
Zdroj:	Journal de radiologie [J Radiol] 2010 Jan; Vol. 91 (1 Pt 1), pp. 47-51.
DOI:	10.1016/s0221-0363(10)70005-6
Abstrakt:	Purpose: Conventional balloon angioplasty of anastomotic stenosis following bypass surgery is insufficient at mid- and long-term. However, short-term results with cutting balloon angioplasty (CBA) are satisfactory. The purpose of this study is to determine the long-term results using this technique. Materials and methods. Between January 2002 and January 2006, all patients with anastomotic stenosis more than one month after bypass surgery, shorter than 2 cm and>50%, were referred without randomisation to CBA. Results: A total of 19 patients with mean age of 63.5 years (55-82 years), 14 males and 5 females, were included. Twenty stenoses (femoral n=15, popliteal n=4 and calf n=1) managed with CBA affected 17 infrainguinal and 2 suprainguinal bypasses. One patient had anastomotic stenoses at both extremities. The rate of technical success aws 100%. Mean follow-up was 32 months (12-42). Three deaths occurred during follow-up. One patient presented with restenosis at 3 months, successfully treated with repeat CBA. No thrombosis or infection was observed. Conclusion: The results with CBA appear persistent and compete favorably with results from surgical repair. A randomized trial would be necessary to confirm these results.
Databáze:	MEDLINE
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