Laser-assisted balloon angioplasty for infrapopliteal arterial occlusion with critical limb ischemia:a clinical study
10.3969/j.issn.1008-794X.2024.02.005
- VernacularTitle:激光辅助球囊血管成形术治疗膝下动脉硬化闭塞症合并严重肢体缺血的临床研究
- Author:
Panfeng LI
1
;
Xiaojian LI
;
Guoquan WANG
;
Songpo ZHANG
;
Hao NIU
;
Shuiting ZHAI
Author Information
1. 450018 河南郑州 阜外华中心血管病医院血管外科、河南省人民医院心脏中心
- Keywords:
infrapopliteal artery;
laser;
balloon;
angioplasty;
critical limb ischemia
- From:
Journal of Interventional Radiology
2024;33(2):130-134
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of laser-assisted balloon angioplasty(LABA)in treating patients with infrapopliteal arterial occlusion complicated by critical limb ischemia(CLI).Methods The clinical data of patients with infrapopliteal artery occlusion complicated by CLI,who were admitted to the Fuwai Central China Cardiovascular Hospital to receive LABA(LABA group)or balloon angioplasty alone(BA group)between January 2019 and December 2021,were retrospectively analyzed.The incidence of perioperative complications and postoperative clinical efficacy were compared between the two groups.Results A total of 32 patients received LABA therapy and 40 patients received BA alone.The technical success rate,the postoperative ankle-brachial index(ABI),the numerical value of postoperative ABI value deducting preoperative ABI value,the postoperative 24-month continuous improvement rate of clinical symptoms and the primary patency rate of target vessels in the LABA group were remarkably higher than those in the BA group(all P＜0.05).No procedure-related target vessel perforation,amputation,or death occurred in both groups.No statistically significant differences in the target vessel dissection,distal embolism,remedial stenting,and postoperative 24-month amputation-free survival existed between the groups(all P＞0.05).Conclusion For the infrapopliteal arterial occlusion complicated by CLI,LABA therapy is clinically safe and effective,and its mid-term efficacy is superior to BA alone.
