[Percutaneous transluminal angioplasty and severe limb ischaemia].
OBJECTIVE
To determine the outcome and the place of transluminal angioplasty (ATL) in the treatment of severe limb ischaemia.


METHODS
Seventy two legs at stage III and IV of Fontaine's classification have been exclusively treated by endoluminal procedures. The success was valued both on the haemodynamic post-operative improvement of the run-off flow and on the clinical statut leading to the conservation at mid-term of a functional limb. Patency and survival rate had been valued by actuarial method.


RESULTS
Seventy percent of the limbs were haemodynamically improved. For the global population, a 48% clinical success rate was obtained at 6 months but 30.5% of limbs were loss. Primary patency rate was respectively 79, 71 and 68% at 6, 12 and 24 month. The quality of the run-off arteries has been the most influential factor.


CONCLUSIONS
Endoluminal treatment of chronic limb ischaemia had lead to a clinical improvement in 48% of cases. Multi-stages and distal atherosclerotic disease of this patients limits ATL indications which results depend of run-off quality.
Gaillard
R
R
Clinique chirurgicale adulte Ouest, centre hospitalier régional universitaire de Lille, hôpital Claude-Huriez, 3e étage, aile ouest, 59037 cedex, Lille, France.
Alarcon
B
B
Tinajero
A
A
N'Guyen
H D
HD
Chambon
J P
JP
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000379:methods*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007511:Ischemia / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome