title: [Clinical efficacy and outcome of endovascular therapy for complex arteriosclerosis obliterans of the lower extremities].
abstract: OBJECTIVE
  To evaluate efficacy and outcome of endovascular therapy for complex arteriosclerosis obliterans of the lower extremities.
  
  
  METHODS
  In this single-center retrospective study, the clinical data of consecutive 114 cases with TASC II type C/D lower extremity obstructive disease and clinical stage of Fontaine ≥ IIb and ankle brachial index <0.9 underwent endovascular therapy from December 2011 to January 2013 were collected. Telephone or clinic interviews were conducted to investigate the clinical outcomes.
  
  
  RESULTS
  There were 39 TASC II type C patients and 75 TASC II type D patients, 78 patients were in Fontaine IIb, 30 patients in Fontaine III and 6 patients in Fontaine IV stages. Immediate procedural success rate was 94.9% (131/138). Ankle brachial index was increased from 0.54 ± 0.26 at baseline to 0.83 ± 0.30 at discharge (P < 0.01). No adverse event was observed during the perioperative period. During (15.7 ± 8.7) months follow-up, cumulative patency rate of 6, 12 and 18 months was 75.8% (94/124) , 68.7% (68/99) and 39.2% (20/51) respectively and limb salvage rate was 100%.
  
  
  CONCLUSIONS
  Endovascular therapy for complex arteriosclerosis obliterans of the lower extremities is effective and safe.
authors.affiliation: Department of Cardiology, First People's Hospital of Xiaoshan District, Hangzhou 311200, China.
authors.forename: Wenjuan
authors.initials: W
authors.lastname: Wei
authors.forename: Hui
authors.initials: H
authors.lastname: Dong
authors.affiliation: Email: jxj103@hotmail.com.
authors.forename: Xiongjing
authors.initials: X
authors.lastname: Jiang
authors.forename: Meng
authors.initials: M
authors.lastname: Peng
authors.forename: Bin
authors.initials: B
authors.lastname: Li
authors.forename: Yubao
authors.initials: Y
authors.lastname: Zou
authors.forename: Ting
authors.initials: T
authors.lastname: Guan
authors.forename: Huimin
authors.initials: H
authors.lastname: Zhang
authors.forename: Haiying
authors.initials: H
authors.lastname: Wu
mesh_terms: D055109:Ankle Brachial Index; D001162:Arteriosclerosis Obliterans / Q000628:therapy*; D005263:Femoral Artery; D006801:Humans; D023821:Limb Salvage; D035002:Lower Extremity; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome