Laser angioplasty for superficial femoral and proximal popliteal artery occlusion.
A prospective study of percutaneous laser assisted thermal angioplasty for superficial femoral and proximal popliteal artery occlusions was performed on 93 consecutive patients with a mean length of occluded segment of 7.6 cm. Technical success was achieved in 78 patients (84%). Subsequent patency or occlusion has been confirmed by duplex ultrasound scanning or arteriography. The crude patency rate for successfully recanalised vessels was 48% during a mean follow-up period of 18 months. Subsequent femoropopliteal bypass or amputation was required in 20% of these patients. Factors predictive of reocclusion were a length of occluded segment greater than 8 cm (p = 0.05) and less than two patent vessels below the knee (p = 0.005).
Fletcher
J P
JP
Department of Surgery, Westmead Hospital, NSW, Australia.
Hazelton
S
S
Wong
K P
KP
Carr
P
P
Kenny
J
J
Taylor
A
A
Avramovic
J R
JR
Fisher
P
P
Moylan
D
D
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016342:Angioplasty, Laser; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D012086:Reoperation