Percutaneous transluminal angioplasty for limb salvage.
Thirty patients with end-stage atherosclerosis, being considered for amputation, were treated by percutaneous transluminal angioplasty (PTA). All had very poor run-off, and none was a candidate for arterial reconstruction. Occluded segments of the iliac, femoral, popliteal, and tibial arteries measuring up to 21 cm were recanalized, resulting in an increased ankle/brachial systolic pressure index despite significant distal occlusive disease. Ischemic symptoms were relieved in 22 patients, and the overall limb salvage rate (2- to 17-month follow-up) was 73%.
D000368:Aged; D000800:Angioplasty, Balloon; D000842:Ankle; D001161:Arteriosclerosis / Q000000981:diagnostic imaging / Q000628:therapy*; D001794:Blood Pressure; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery; D007866:Leg / Q000098:blood supply*; D008297:Male; D011150:Popliteal Artery; D011859:Radiography