Vibrational angioplasty in the treatment of chronic infrapopliteal arterial occlusions: preliminary experience
| Autor: | Tsetis, D. K., Michalis, L. K., Rees, M. R., Katsamouris, A. N., Matsagas, M. I., Katsouras, C. S., Sideris, D. A., Gourtsoyiannis, N. C. |
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| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: |
Aged
80 and over Male Popliteal Artery/radiography/*surgery Postoperative Complications/etiology/surgery Reoperation Femoral Artery/radiography/surgery Foot Ulcer/etiology/surgery Middle Aged Treatment Outcome Wound Healing/physiology Chronic Disease Angioplasty Balloon Humans Female Amputation Tibial Arteries/radiography/surgery Aged Arterial Occlusive Diseases/complications/*therapy Follow-Up Studies |
| Popis: | PURPOSE: To evaluate the safety and efficacy of vibrational angioplasty in chronic infrapopliteal arterial occlusions. METHODS: Twelve patients (9 men, aged 54 to 90 years) with 13 below-knee arterial chronic total occlusions were treated percutaneously using vibrational angioplasty. The occlusions were located in the anterior tibial artery (n=5), the tibioperoneal trunk (n=4), the peroneal artery (n=1), the posterior tibial artery (n=1), and in both the tibioperoneal trunk and peroneal artery (n=2). The length of the lesions ranged from 5 to 14 cm. RESULTS: Recanalization was successful in 12 (92.3%) lesions. In 1 case, the wire perforated the arterial wall; the procedure was abandoned without clinical sequelae. The time to cross the occlusions with the wire ranged from 6 to 19 minutes. No other complications were observed. Clinical follow-up ranged to 18 months. Ten patients with ulceration or gangrene demonstrated good wound healing, and pain was alleviated in all successfully treated patients. CONCLUSIONS: Vibrational angioplasty appears feasible as a means of safely recanalizing chronic total occlusions of the infrapopliteal arteries. Further experience should be acquired to assess its short- and long-term effects on this vascular territory. J Endovasc Ther |
| Databáze: | OpenAIRE |
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