Femoropopliteal angioplasty in patients with claudication: primary and secondary patency in 140 limbs with 1-3-year follow-up.
OBJECTIVE
To determine the usefulness of percutaneous transluminal angioplasty in the femoropopliteal arteries in patients with claudication.


METHODS
In a prospective study of 106 claudicants (71 men and 35 women, aged 41-90 years [mean, 67 years]), a total of 208 lesions in 140 limbs were treated. The patients were followed up for 12-36 months. The patency rates were based on determination of the ankle-brachial index.


RESULTS
The hemodynamic success rate for all the treated limbs was 89%, 99% for femoropopliteal stenoses (n = 71) and 80% for femoropopliteal occlusions (n = 69). In multiple logistic regression analysis, a smaller number of diseased vessels (one to two vs three to seven) and milder lesion severity (stenosis vs occlusion) correlated favorably with early success. Survival analysis with the Kaplan-Meier method according to established criteria revealed 1-, 2-, and 3-year primary patency rates of 47% (27 of 57 limbs), 41% (14 of 34 limbs), and 43% (three of seven limbs), respectively.


CONCLUSIONS
In selected cases, good primary success and acceptable long-term results can be achieved with femoropopliteal angioplasty in claudicants.
Matsi
P J
PJ
Department of Clinical Radiology, Kuopio University Hospital, Finland.
Manninen
H I
HI
Vanninen
R L
RL
Suhonen
M T
MT
Oksala
I
I
Laakso
M
M
Hakkarainen
T
T
Soimakallio
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D007383:Intermittent Claudication / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000473:pathology; D011446:Prospective Studies; D012008:Recurrence; D012044:Regression Analysis; D012307:Risk Factors; D016019:Survival Analysis; D014654:Vascular Patency