[Role of endovascular treatments in the management of arteriopathies of the aged subject].
Endovascular procedures have deeply modified the treatment of patients with peripheral arterial diseases. However risks of transluminal angioplasty are increased with patient age. In patients with acute ischemia by distal embolism or in situ thrombosis percutaneous thromboaspiration is an alternative to the Fogarty catheter. In patients with chronic critical ischemia, revascularization is necessary. Risks of surgical treatment are rather in favour of endovascular procedures. In patients suffering of intermittent claudication, results of a series of 38 patients confirm the efficacy of angioplasty. Thus endovascular procedures can be proposed in alternative to medical treatment to patients over 70 years of age.
Fiessinger
J N
JN
Service de Médecine Vasculaire, hôpital Broussais, Paris.
Velut
J G
JG
Gaux
J C
JC
D000368:Aged; D000800:Angioplasty, Balloon; D004617:Embolism / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D013927:Thrombosis / Q000628:therapy; D014652:Vascular Diseases / Q000628:therapy*
Place des traitements endovasculaires dans la prise en charge des artériopathies du sujet âgé.