[Subintimal angioplasty for superficial femoral artery occlusions: first experience in Kaunas University of Medicine Hospital].

Aleksynas, N ; Kaupas, RS

In: Medicina (Kaunas, Lithuania), Jg. 43 (2007), Heft 6, S. 447-54

academicJournal

Objective: To assess prospectively the first experience of subintimal angioplasty of superficial femoral artery occlusions.

Patients and Methods: Within a period of 36 months, 45 patients with 45 chronic occlusions in superficial femoral artery were treated at Kaunas University of Medicine Hospital.

Results: The technical success rate was 84.4%, and four failures were treated by conventional surgery. The following complications occurred: one hematoma at the arterial puncture site, one artery spasm, and two distal embolizations. The mean length of occlusions was 14.2+/-1.4 cm. The mean ankle-brachial index improved from 0.41+/-0.15 to 0.81+/-0.04 after successful subintimal angioplasty (P<0.001). Primary assisted patency rates were 94.7%, 92.1%, 84.2%, 81.6%, and 81.6% at 1, 3, 6, 12, and 24 months, respectively. The limb salvage rates were 100% and 97.8% at 1-3 and 6-12-24 months, respectively. There were no treatment-related amputations.

Conclusions: Subintimal angioplasty of occluded superficial femoral artery is a safe and minimally invasive procedure with a high initial technical success rate, low complication rate, and good early results, and in case of failure, subsequent surgery can be performed.

Titel:	[Subintimal angioplasty for superficial femoral artery occlusions: first experience in Kaunas University of Medicine Hospital].
Autor/in / Beteiligte Person:	Aleksynas, N ; Kaupas, RS
Zeitschrift:	Medicina (Kaunas, Lithuania), Jg. 43 (2007), Heft 6, S. 447-54
Veröffentlichung:	2018- : Basel, Switzerland : MDPI ; <i>Original Publication</i>: Kaunas : Lietuvos gydytojų sąjunga, 2007
Medientyp:	academicJournal
ISSN:	1648-9144 (electronic)
Schlagwort:	Adult Aged Aged, 80 and over Angiography Arterial Occlusive Diseases diagnostic imaging Chi-Square Distribution Chronic Disease Data Interpretation, Statistical Female Follow-Up Studies Humans Leg blood supply Limb Salvage Male Middle Aged Prospective Studies Time Factors Treatment Outcome Vascular Patency Angioplasty, Balloon methods Arterial Occlusive Diseases therapy Femoral Artery diagnostic imaging
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: Lithuanian Transliterated Title: Letiniu pavirsiniu slaunies arteriju uzakimu gydymo subintimine angioplastika pirmieji rezultatai Kauno medicinos universiteto klinikose. Publication Type: Comparative Study; Evaluation Study; Journal Article Language: Lithuanian [Medicina (Kaunas)] 2007; Vol. 43 (6), pp. 447-54. MeSH Terms: Femoral Artery* / diagnostic imaging ; Angioplasty, Balloon / methods ; Arterial Occlusive Diseases / therapy ; Adult ; Aged ; Aged, 80 and over ; Angiography ; Arterial Occlusive Diseases / diagnostic imaging ; Chi-Square Distribution ; Chronic Disease ; Data Interpretation, Statistical ; Female ; Follow-Up Studies ; Humans ; Leg / blood supply ; Limb Salvage ; Male ; Middle Aged ; Prospective Studies ; Time Factors ; Treatment Outcome ; Vascular Patency Entry Date(s): Date Created: 20070720 Date Completed: 20070927 Latest Revision: 20191210 Update Code: 20240513

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