Percutaneous transluminal angioplasty for ischemic lesions of below-the-knee arteries in elderly patients
10.3760/cma.j.issn.0254-9026.2016.06.005
- VernacularTitle:腔内治疗策略在老年人膝下动脉缺血性病变中的应用
- Author:
Peng LI
;
Dajun LI
;
Guodong YE
;
Shuping TAN
;
Yong LAN
;
Jiyang WANG
- Publication Type:Journal Article
- Keywords:
Angioplasty;
Knee;
Arteriosclerosis,obliterans
- From:
Chinese Journal of Geriatrics
2016;35(6):587-590
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of percutaneous trasluminal angioplasty (PTA) for ischemic lesions of below-the-knee(BTK) arteries in elderly patients.Methods Clinical data of 56 elderly patients(the PTA group) with ischemic lesions of BTK arteries who had received PTA treatment were retrospectively analyzed.The ankle brachial index (ABI) and the skin temperature of the affected foot were recorded and analyzed before and after treatment.The clinical effects were compared with those of conservative treatment 31 patients(the control group) had received during the same period.Results PTA was successfully performed in all of the 56 cases.The skin temperature rose,claudication disappeared or the claudication distance increased,rest pain disappeared or lessened,and no severe complications or death occurred in the PTA group.ABI increased from (0.41±0.12) before treatment to(0.63±0.21),(0.65±0.19),(0.67± 0.22),(0.61±0.20),and (0.58±0.18) at 24 hours,1,3,6 and 12 months after treatment,respectively.The skin temperature increased from(28.4±2.1)℃ before treatment to(35.4±2.4)℃,(35.6±2.1)℃,(35.8±2.4)℃,(34.6±2.1)℃ and(34.3±2)℃ at 24 hours,1,3,6 and 12 months after treatment,respectively.There were statistically significant differences in ABI and the skin temperature between before treatment and any time point after treatment(all P＜0.05) and between the PTA group and the control group at any time point after treatment(all P＜0.05).Conclusions PTA is a safe and effective treatment for ischemic lesions of BTK arteries in elderly patients.
