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Percutaneous balloon angioplasty in the treatment of critical limb ischemia with severe obstructive lesions in below-the-knee arteries - results of 1 year follow-up
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Abstract
Material and methods: This was an open, prospective 1-year observation of 120 CLI patients in whom 127 limbs were treated. The majority of patients were in Rutherford class 6, the minority in Rutherford class 4. Results: After 12 months 52 patients were still alive, did not present signs or symptoms of CLI and had the treated limb preserved (43%). 19 patients had died (16%) and there were 25 amputations (20%). However, the periprocedural complication rate was high (14%), with most of the complications being related to arterial puncture.
Conclusions: Percutaneous revascularization is justified in CLI patients with below-the-knee obstructive lesions not amenable to surgery. After one year, the results of endovascular treatment are far better than the reported results of conservative treatment. Modifications in endovascular procedure techniques may improve final results.
Abstract
Material and methods: This was an open, prospective 1-year observation of 120 CLI patients in whom 127 limbs were treated. The majority of patients were in Rutherford class 6, the minority in Rutherford class 4. Results: After 12 months 52 patients were still alive, did not present signs or symptoms of CLI and had the treated limb preserved (43%). 19 patients had died (16%) and there were 25 amputations (20%). However, the periprocedural complication rate was high (14%), with most of the complications being related to arterial puncture.
Conclusions: Percutaneous revascularization is justified in CLI patients with below-the-knee obstructive lesions not amenable to surgery. After one year, the results of endovascular treatment are far better than the reported results of conservative treatment. Modifications in endovascular procedure techniques may improve final results.
Keywords
critical limb ischemia; below-the-knee arteries; impeded run-off; percutaneous balloon angioplasty; endovascular treatmenta
About this articleTitle
Percutaneous balloon angioplasty in the treatment of critical limb ischemia with severe obstructive lesions in below-the-knee arteries - results of 1 year follow-up
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
67-76
Published online
2008-10-21
Page views
1352
Article views/downloads
11226
Bibliographic record
Chirurgia Polska 2008;10(2):67-76.
Keywords
critical limb ischemia
below-the-knee arteries
impeded run-off
percutaneous balloon angioplasty
endovascular treatmenta
Authors
Marek Krzanowski
Wojciech Bodzoń
Maciej Wandzilak
Paweł Maga
Andrzej Belowski
