[The place of percutaneous transluminal angioplasty in the treatment of obliterative vascular diseases of the lower limbs. Angioplasty of of the iliac system].
Between 1983-91 386 patients with hemodinamically significant stenosis or short-segment occlusion of iliac arteries were treated by transluminal angioplasty. 487 dilatations and 13 recanalizations were performed. In 353 (70.2%) of these cases were carried out without medicinal preparation continuously after the diagnostic angiography. The technical success rate was 93.4%. The technical success rate did not depend on medicinal preparation. 93% of their patients became symptomless or improved. 28 complications were noted (7 thrombosis, 4 embolisms, 14 inguinal haematomas, 2 false aneurysms, 1 bleeding), 11 of them required surgical intervention. One patient died because of cardiac failure due to retroperitoneal haematoma. Authors' opinion isolated short uni- and bilateral iliacal stenosis can be treated by transluminal angioplasty. Longer or multifocal stenosis required individual consideration.
Fazekas
P
P
Röntgen Osztály, Markhót Ferenc Megyei Kórház-Rendelóintézet, Eger.
Frey
J
J
Horváth
T
T
Erdélyi
B
B
Adám
A
A
Németh
M
M
D000783:Aneurysm / Q000628:therapy; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D004617:Embolism / Q000628:therapy; D005260:Female; D006801:Humans; D007083:Iliac Artery; D007866:Leg / Q000098:blood supply; D008297:Male; D013927:Thrombosis / Q000628:therapy
A percutan transluminalis angioplastica helye az alsó végtagok obliteratív érbetegségeinek kezelésében. Angioplastica az iliaca rendszeren.