| Autor: |
L, Boyer, T, Therre, J M, Garcier, N, Perez, A, Ravel, C, Privat, J F, Viallet |
| Rok vydání: |
2000 |
| Předmět: |
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| Zdroj: |
Acta radiologica (Stockholm, Sweden : 1987). 41(1) |
| ISSN: |
0284-1851 |
| Popis: |
To evaluate long-term results of infrapopliteal percutaneous transluminal angioplasty (PTA) for limb salvage.A retrospective study of 71 consecutive infrapopliteal PTAs in 49 patients with rest pain (n = 20) or ulceration (n = 29) was conducted. In 18 patients, surgical minor amputation or debridment was also performed.Technical success was achieved in 45 patients. Four failures necessitated 2 amputations. One patient died in the postoperative course. Global morbidity rate was 16%, including minor complications in 5 patients and major vascular complications in 3 patients. After technical success during the follow-up (median duration 21 months), restenoses occurred in 4 patients, of whom 3 had a successful re-PTA (clinical success rate 72%). Survival, primary patency, secondary patency and limb salvage rates were, respectively, 75%, 81%, 88% and 87% after 3 years. The only positive predictive factor for primary patency was the presence of diabetes mellitus.Infrapopliteal PTA is a safe and effective procedure, allowing good patency and limb salvage rates with low mortality and morbidity. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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