Balloon angioplasty combined with primary stenting versus balloon angioplasty alone in femoropopliteal obstructions: A comparative randomized study
| Autor: | Jacob Buth, Harrie C. M. van den Bosch, Alexander V. Tielbeek, Louwerens D. Vos, Dammis Vroegindeweij |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Arterial Occlusive Diseases Femoral artery Balloon law.invention Randomized controlled trial law Ischemia medicine.artery Angioplasty medicine Humans Radiology Nuclear Medicine and imaging Popliteal Artery Prospective Studies Ultrasonography Doppler Color Aged Aged 80 and over Leg medicine.diagnostic_test business.industry Vascular disease Hemodynamics Middle Aged medicine.disease Popliteal artery Surgery Femoral Artery Stenosis Treatment Outcome Angiography Female Stents Radiology Cardiology and Cardiovascular Medicine business Angioplasty Balloon Blood Flow Velocity Follow-Up Studies |
| Zdroj: | Cardiovascular and interventional radiology. 20(6) |
| ISSN: | 0174-1551 |
| Popis: | To evaluate whether balloon angioplasty combined with stenting (ST) of symptomatic femoropopliteal disease would provide better results compared with balloon angioplasty alone (BA).Fifty-one patients were randomized between ST (24 patients) and BA (27 patients). Follow-up comprised clinical and hemodynamic assessment and color-flow duplex ultrasound examinations.Residual stenosis (or = 30% diameter reduction) occurred in three BA patients, but not in the ST patients. By life-table analysis the cumulative rate of clinical and hemodynamic success after 1 year with ST was 74% (SE 9%) and for those with BA 85% (SE 7%) (p = 0.25). The primary patency at 1 year assessed by color-flow duplex ultrasound was 62% (SE 9%) for ST-treated patients and 74% (SE 8%) for BA patients (p = 0.22). Occlusion occurred in five ST patients (21%) compared with two BA patients (7%).ST does not improve clinical and hemodynamic outcome compared with BA. Moreover, the occlusion rate in ST-treated patients is higher. |
| Databáze: | OpenAIRE |
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