[Laser-assisted balloon angioplasty of occlusions in the femoropopliteal segment].
During 1990 through 1992, 32 patients with arterial occlusive disease of the femoropopliteal segment underwent laser-assisted balloon angioplasty at the vascular service of Rigshospitalet, Copenhagen. A pulsed ultraviolet excimer laser was employed. Initial angiographic and clinical success was achieved in 20 of 32 femoropopliteal occlusions (63%). Life-table analysis revealed a cumulated patency rate of 40%, 33% and 25% after one month, one and three years, respectively. There was no correlation between initial success rate and length of occlusion, status of run-off, calcification or number of collateral vessels. In this series, laser angioplasty carried a high risk of perforation. The initial and long-term results were no better than could be expected of percutaneous transluminal angioplasty, suggesting that laser-assisted balloon angioplasty has no place in the vascular surgical armamentarium.
Eiberg
J P
JP
Karkirurgisk Afdeling, Rigshospitalet, København.
Rasmussen
J B
JB
Schroeder
T V
TV
D000328:Adult; D000368:Aged; D017222:Angioplasty, Balloon, Laser-Assisted / Q000009:adverse effects / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000401:mortality / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011379:Prognosis; D011859:Radiography; D012189:Retrospective Studies
Laserassisteret ballonangioplastik af okklusioner i det femoropopliteale segment.