[The place of percutaneous transluminal angioplasty in the management of obliterative vascular diseases of the lower extremities. Femoro-popliteal arterial angioplasty].
Authors treated 331 patients having symptoms of femoropopliteal stenoses or occlusions with transluminal angioplasty from 1983. They performed 186 dilatations and 189 recanalizations. Procedures were preceded by medicinal preparation. The primary technical success rate was 94.6% after dilatation, and 79.9% after recanalisation. In case of stenosis the success rate did not show significant connection with the length of the dilated segment but in case of occlusion longer than 6 cm the success rate decreased. After procedure 87.2% of the patients became asymptomatic, or improved. 21 (5.6%) complications (7 inguinal hematomas, 6 emboles, 6 thromboses, one perforation of arterial wall) occurred and twelve of them required surgical intervention. One patient died after angioplasty due to cardiac failure. Authors are of the opinion that femoropopliteal occlusions and stenoses shorter than 6 cm should be treated by angioplasty. They suggest making balloon catheter dilatation for multiple stenoses even they are longer than 6 cm.
Fazekas
P
P
Markhot Ferenc Megyei Kórház-Rendelöintézet, Eger, Radiológiai, Osztĺy.
Horváth
T
T
Frey
J
J
Erdélyi
B
B
D000368:Aged; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000628:therapy; D001162:Arteriosclerosis Obliterans / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery
A percutan transluminalis angioplastica helye az alsó végtagok obliteratív érbetegségeinek kezelésében. Angioplastica a femoropoplitealis arteriákon.