Technique of minor- caliber and long balloon in treatment of lower limb peripheral arterial disease on diabetic patients
10.3760/cma.j.issn.1008-6706.2011.02.012
- VernacularTitle:小口径长球囊血管扩张术治疗糖尿病足
- Author:
Yaoqiang LOU
;
Kan XU
;
Luyang MENG
;
Linjun WANG
;
Xiaodong WANG
;
Songmao WANG
;
Ye JIN
- Publication Type:Journal Article
- Keywords:
Diabetic foot;
Angioplasty
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(2):169-171
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of percutaneous transluminal angioplasty(PTA) by minor-caliber and long balloon on diabetic patients with below-knee artery. Methods 16 consecutive DM patients(21 limbs)were treated with PTA by minor-caliber and long balloon and followed 7 months(1 ～22 months). The success rate,complication,clinical effects and the changes of ABI were investigated and analyzed. Results The technical success rate is 90.5% (19/21) ,no serious complication occurred. The clinical symptoms of all patients improved after successful PTA. The median ABI marginally increased from the baseline value of (0.31 ±0. 15) to (0.57 ±0.23) after intervention,the difference is significant (P ＜ 0.05). Post-operative pain in patients with rest pain disappeared 9 (60.0%), relieved 4 (26.7%), reduce 2 (13.3 %). Ulcer healing in patients with foot gangrene 4 (66.7 %), Ulcer area was significantly reduced 1 (16.7%), high amputation 1 (16.7%). Postoperative follow-up, two limbs reoperation because of increased symptoms. Conclusion The treatment of percutaneous transluminal angioplasty by minorcaliber and long balloon was effective on diabetic patients with below-knee arterial disease.
