Surveillance for recurrent stenosis after endovascular procedures. A prospective study
| Autor: | William J. Sharp, John D. Corson, Asad R. Shamma, Sharon Petrone, Timothy F. Kresowik, Brian V. Miller |
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| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Arteriosclerosis medicine.medical_treatment Physical examination Arterial Occlusive Diseases Balloon Iliac Artery Atherectomy Restenosis Recurrence Angioplasty Medicine Humans Popliteal Artery Prospective Studies Prospective cohort study Vascular Patency Aged medicine.diagnostic_test business.industry Middle Aged medicine.disease Surgery Femoral Artery medicine.anatomical_structure Female Radiology Laser Therapy medicine.symptom business Claudication Angioplasty Balloon Artery |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 126(7) |
| ISSN: | 0004-0010 |
| Popis: | • Eighy-nine endovascular procedures were performed during a 1-year period. Techniques included balloon angioplasty (n=50), laser-assisted balloon angioplasty (n=32), and atherectomy (n = 7). Indications were claudication (65.2%), critical ischemia (30.3%), and failing bypass (4.5%). Preoperative evaluation included a history and physical examination, segmental limb pressures, and color duplex ultrasonography. Postoperative surveillance consisted of a history and physical examination, ankle-arm indexes, and color duplex examinations at 1-week, 1-month, and then 3-month intervals. All levels of aortoiliac and infrainguinal disease were treated. Immediate technical success rate was 89.8%. Recurrence rates by life-table analysis reveal a 9-month patency rate of 45.4%. Early results of this prospective study indicate that endovascular procedures are subject to significant restenosis rates. Restraint is advised concerning general acceptance of endovascular procedures pending critical study. (Arch Surg. 1991;126:867-872) |
| Databáze: | OpenAIRE |
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