[Percutaneous transluminal angioplasty in the treatment of arteriosclerosis of the lower extremities].
With the introduction of balloon catheters in 1974, dilatation of arteriosclerotic stenoses has become an important treatment for this condition. During the years 1979-88, 368 such procedures were performed in 270 patients. Two patients (0.7%) died from complications. In 8%, revascularisation was unsuccessful. Long occlusions appeared especially difficult to recanalize. 81% of the patients were improved by the treatment. The long term results were best in the iliac segment with 5-year patency of 90% after dilatation of short stenoses (< 4 cm) and 65% after dilatation of longer stenoses. In the femoropopliteal segment, the 5-year patency rates were 65% and 50% respectively. Results after recanalisation of occlusions were poor. Percutaneous transluminal angioplasty is an important supplement to surgery, applying mainly to patients with limited arteriosclerosis and moderate symptoms.
Thorvaldson
J
J
Kar/thoraxkirurgisk avdeling, Ullevål sykehus, Oslo.
Dedichen
H
H
Skjennald
A
A
Hafsahl
G
G
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D001161:Arteriosclerosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000401:mortality; D011859:Radiography; D016909:Tibial Arteries / Q000000981:diagnostic imaging
Perkutan transluminal angioplastikk ved behandling av arteriosklerose i underekstremitetene.