Initial Experiences of Endovascular Surgery for Lower Extremity Arterial Occlusive Diseases in the Operation Room.
10.5758/kjves.2011.27.4.156
- Author:
Suh Min KIM
1
;
Jung Kee CHUNG
;
In Mok JUNG
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. imjung@brm.co.kr
- Publication Type:Original Article
- Keywords:
Endovascular surgery;
Vascular surgeon;
Balloon angioplasty;
Lower extremity;
Arterial occlusive diseases
- MeSH:
Amputation;
Angioplasty, Balloon;
Arterial Occlusive Diseases;
Endovascular Procedures;
Follow-Up Studies;
Humans;
Lower Extremity;
Retrospective Studies
- From:Journal of the Korean Society for Vascular Surgery
2011;27(4):156-161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Endovascular surgery (EVS) has been rapidly increasing within the last two decades, changing the pattern of treatments for arterial disease. The purpose of this study was to report our initial experiences of EVS for lower extremity arterial occlusive diseases in the operation room performed solely by a vascular surgeon. METHODS: Between January 2009 and June 2010, 13 EVS were performed for lower extremity arterial occlusive diseases with a mobile C-arm. Three patients underwent simultaneous bypass surgery with balloon angioplasty. Clinical characteristics, treatments, and outcomes were retrospectively reviewed. RESULTS: Primary patency rates at 1 and 12 months following balloon angioplasty were 92.3% (12/13) and 88.9% (8/9), respectively. Only one patient had a thrombotic occlusion, resulting in an above-knee amputation. No procedure-related deaths occurred. CONCLUSION: We showed an initial acceptable result of EVS for lower extremity arterial occlusive diseases in the operation room. However, the data analyzed was of a small group with a short term follow-up period. More experiences, judicious planning, and efforts to optimize endovascular techniques to resolve complications are needed to be a true vascular and endovascular surgeon.
