[Percutaneous transluminal angioplasty of the deep femoral artery. Retrospective evaluation of early technical and clinical results in 196 cases of catheterization].
OBJECTIVE
Stenosis of the deep femoral artery with simultaneous occlusion of the superficial femoral artery usually is considered to be a classical indication for vascular surgery. Angioplastic therapy of this vessel is rarely reported. Retrospective analysis of the technical and clinical results following catheter treatment of the deep femoral artery was performed to demonstrate the possibilities of this less invasive method.


METHODS
196 angioplasties in 174 patients were performed. 77 patients (39%) suffered from stage II disease according to Fontaine classification (grade I category 2/3 [Rutherford]), 36 (18%) from stage III (grade II category 4) and 75 (38%) from stage IV (grade III category 5).


RESULTS
Catheter treatment was successfully performed in 77% (151/196) of the cases. Clinical improvement was seen following 61% (96/196) of the treatments. The complication rate was 3.4% (7/196: thrombosis of the CFA, ascending occlusion of the SFA, occlusion/spasm of the arteria circumflexa femoris lateralis, pulmonary embolism).


CONCLUSIONS
Catheter treatment is a minimal invasive, cost-effective alternative to surgical reconstruction of the deep femoral artery.
Grün
B
B
Abteilung Radiologie, Aggertalklinik, Engelskirchen.
Roth
F J
FJ
D000328:Adult; D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D003251:Constriction, Pathologic; D005069:Evaluation Studies as Topic; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Perkutane transluminale Angioplastie der Arteria profunda femoris. Retrospektive Auswertung der technischen und klinischen Frühergebnisse von 196 Katheterbehandlungen.