Endovascular treatment of femoropopliteal steno-obstructive disease with percutaneous transluminal angioplasty: midterm results.
OBJECTIVE
This study aimed to evaluate midterm outcomes of conventional percutaneous transluminal angioplasty (PTA) in the treatment of femoropopliteal steno-obstructive disease and assess the effect of risk factors on patency rates.


METHODS
One hundred consecutive patients with femoropopliteal steno-obstructive disease underwent PTA, for a total of 104 procedures. Presence of cardiovascular risk factors, TransAtlantic Inter-Society Consensus (TASC) classification, runoff status, pre-and postprocedural clinical data and procedure outcome were recorded. Follow-up consisted of clinical assessment and colour Doppler ultrasonography at 1, 6 and 12 months.


RESULTS
Technical success was 96% (96/100). Seven lesions required stent placement. Primary and secondary patency rates were 82.7% and 88.8% at 6 months and 74.3% and 81.5% at 12 months, respectively. Primary patency rates at 12 months were significantly higher for TASC A-B-C lesions than for TASC D lesions (p < 0.05). Primary patency rates at 12 months were 61.6% and 78.8% (p<0.05) for poor or adequate runoff status, respectively.


CONCLUSIONS
Conventional PTA is a minimally invasive alternative to bypass surgery for treating TASC A-C atherosclerotic lesions in the presence of adequate runoff.
Cotroneo
A R
AR
Department of Clinical Science and Bioimages, Section of Radiological Sciences, University G. D'Annunzio, Osp. SS. Annunziata, Via dei Vestini, 66013 Chieti, Italy. ar.cotroneo@rad.unich.it
Pascali
D
D
Santoro
M
M
Giancristofaro
D
D
Quinto
F
F
Iezzi
R
R
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000145:classification / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014654:Vascular Patency
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