Results of angioscopy-assisted intraoperative transluminal angioplasty of the iliac and femoral artery.
Angioscopy as a guide for intraoperative transluminal angioplasty was used in the treatment of 36 arterial occlusive lesions in 32 patients, thirty males and two females with mean age of 67.72 +/- 5.95 years (range from 57 to 75 years). Of these, 19 involved the iliac artery and 17 the femoropopliteal artery. All the intraluminal lesions of the artery were successfully visualized. Patency rate for iliac transluminal angioplasty was 95% at the first year and 85% at the second and third years. For femoropopliteal transluminal angioplasty it was 80% at the sixth month and 72% one to three years after. The results in our series were satisfactory when angioscopy was used as an adjunct to assist intraoperative transluminal angioplasty so that the operation could be done more safely and more time-saving with no significant clinical complications. In view of these encouraging results, we will recommend angioscopy as a specific ancillary technique in certain cases of peripheral vascular disease during concomitant vascular surgery, but long term investigation is necessary.
Lai
S T
ST
Department of Surgery, National Yang-Ming Medical College, Taipei, R.O.C.
Cheng
K J
KJ
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D004724:Endoscopy; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged