| Autor: |
Stagg, Samuel J., Chaisson, Gary, Ladd, William R., Murray, Gary, Pharo, Wayne, Fudge, Tommy, Abben, Richard, Couvillon, Michael A., Allie, David, Walker, Craig M. |
| Zdroj: |
Vascular and Endovascular Surgery; January 1991, Vol. 25 Issue: 1 p23-28, 6p |
| Abstrakt: |
"Hot-tip" laser angioplasty has been proven safe and effective in treating periperal vascular disease. There is, however, a group of patients with lesions or occlusions at the origin of the superficial femoral artery (SFA) that are difficult to approach from a standard antegrade femoral approach. The authors have developed a new retrograde popliteal approach that allows laser angioplasty to be performed percutaneously in these patients; 51 consecutive cases have been treated and followed up for more than one year. There were 40 cases with lesions greater than 9 cm long (Group A), while 11 cases had lesions less than 9 cm long (Group B). The mean lesion length was 15 cm. The initial success rate was 32 of 51 cases (63%):24 of 40 cases (60%)in Group A and 8 of 11 cases (73%)in Group B proved successful. A three-month follow-up showedthat clinical patency was 100% in initially successful cases (32 of 32 cases overall, 24 of 24 cases in Group A, and 8 of 8 cases in Group B). A twelve-month follow-up showed clinical patency in 20 of 32 initally successful cases (63%);14 of 24 cases (58%)in Group A and 6 of 8 cases in Group B (75%)remained patent at twelve months.The authors conclude that the popliteal approach to laser-assisted angioplasty is a safe and effective method of treating lesions at the origin of the SFA that could not be treated with any other percutaneous approach. One-year follow-up results in these patients are encouraging. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
