Endovascular intervention for infrapopliteal arterial ischemia
- VernacularTitle:腔内介入治疗膝下动脉缺血性疾病
- Author:
Qingyou MENG
;
Xiaoqiang LI
;
Aimin QIAN
;
Hongfei SANG
;
Pengfei DUAN
;
Liwei ZHU
;
Jianjie RONG
;
Xiaobin YU
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Angioplasty;
Ischemia;
infrapopliteal artery
- From:
Chinese Journal of General Surgery
2008;23(9):699-701
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of endovascular interventional treatment for infrapopliteal arterial ischemic diseases. Methods Sixty patients(65 limbs)of infrapopliteal arterial isehernia of the lower extremities received pereutancotm transluminal angioplasty(PTA)and/or stents implantation from November 2004 to July 2007.The symptoms,changes of ankle/brachial index(ABI),limb salvage rate and immediate patent rate were observed. Results PTA/stenting procedure was successful in 51 out of 60 patients(65 limbs)with the technical success rate of 83.3%.Symptoms were improved in 53 cases(88.3%)including complete symptom remission in 40 cases(66.7%),partial remission in 13 patients(21.7%).The procedure failed in 7 cases(11.6%).In successful cases,AB1 increased from preoperative 0.40±0.18 to postoperative 0.91±0.22(P＜0.01).The amputation below knee was performed in two cases and toe apodizers in four cases.The limb salvage rate was 91% during the same hospitalization.Discharged 54 cases were followed up with 14.5±1.2 months,during this period amputation above knee was performed in 2 cases,amputation below knee in 2 cases,and toe apodizers in 2 cases,with a limb salvage rate of 88.9%(48/54).Symptoms were recurrent in five cases,with recurrence rate of 9.2%.Vascular reocclusion or restenosis were found in 10 cases.the patent rate was 81.5% and the cumulative patent rate was 57.3% in one year. Conclusions Endovascular interventional treatment for infrapopliteal arterial ischemic disease is safe and effective.
