[Treatment of obliterating arteriopathies of the lower limbs using angioplasty. Comparison of 2 techniques of recanalization: Nd-YAG laser and radiofrequency thermal probe].
The Authors report their experience about 20 cases of femoro-popliteal revascularization: in 15 cases a Nd-YAG Laser was used; in 5 cases a unity which employs radiofrequency energy to heat the tip (Thermoprobe) was utilized. We obtained an immediate recanalization in 19 out of 20 superficial femoral arteries with two early thrombosis. In 12 patients of the first group a significant increase of the ankle-brachial index (45%) was seen; it remained unchanged during the follow-up. We had successful revascularization in all the 5 patients of the second group (Thermoplaster). In selected cases, when the lesion is shorter than 10 cm, not completely calcified, and there is a valid run-off, Laser angioplasty could be a valid alternative to surgery or medical therapy.
Chiesa
R
R
Istituto Malattie dell'Apparato Cardiovascolare e Respiratorio, Istituto Scientifico Ospedale S. Raffaele, Università degli Studi di Milano.
Castrucci
M
M
Spiegel
P
P
Melissano
G
G
Venturini
M
M
Esposito
G
G
Vanzulli
A
A
Del Maschio
A
A
Grossi
A
A
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods; D016342:Angioplasty, Laser; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D011846:Radio Waves; D013814:Thermal Conductivity
Trattamento delle arteriopatie obliteranti degli arti inferiori mediante angioplastica assistita. Confronto fra due tecnologie di ricanalizzazione: Laser Nd-YAG e thermoprobe a radiofrequenza.