[Percutaneous transluminal atherectomy of the femoropopliteal arteries. Technic, indications, results after 6 months].
Percutaneous atherectomy was performed in 25 patients with 30 symptomatic femoro-popliteal stenoses. Twenty-three patients were successfully treated with resolution of claudication and a mean 0.35 increase in the ankle-arm-index. Two early thromboses occurred. Residual stenosis was less-than 30% in 25 lesions, with no dissection, and no embolization. Atherectomy seems to be an effective treatment for eccentric and calcified lesions. At 6 months follow-up (17 patients, 19 lesions) clinical and Doppler improvement remained stable in 14 patients; 2 restenosis and 1 new disease occurred. Atherectomy restores a large lumen with minimal wall trauma, thereby possibly decreasing the restenosis rate.
Maquin
P
P
Railhac
N
N
Brunet
M
M
Fajadet
P
P
Lefebvre
D
D
Bossavy
J P
JP
Railhac
J J
JJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000379:methods; D001161:Arteriosclerosis / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D012008:Recurrence; D013927:Thrombosis / Q000209:etiology; D013997:Time Factors
Athérectomie transluminale percutanée des artères fémoro-poplitées. Technique, indications, résultats à six mois.