Percutaneous Transluminal Angioplasty of Chronic Arterial Occlusive Disease below the Knee Joint
Journal of the Korean Radiological Society
;
: 209-215, 1996.
Article
in Korean
| WPRIM
| ID: wpr-113781
ABSTRACT
PURPOSE:
The purpose of this study was to determine the safety and efficacy of the percutaneous transluminal angioplasty(PTA) in patients with chronic arterial occlusive disease below the knee joint. MATERIALS ANDMETHODS:
We retrospectively analyzed the results of 36 procedures in 16 patients. There were 15 men and one woman, aged 57-75 years(mean, 62 years). Indications were disabling claudication(SVS/ISCVS grade 1, category 3) in five cases, rest pain(grade 2, category 4) in three cases, and non-healing ulceration or gangrene(grade 3, category 5) ineight cases. PTA was performed by using small vessel balloon catheter of 2-4 mm and 3 mm monorail balloon catheterin tibioperoneal vessels and 5-6 mm balloon catheter in distal popliteal artery and tibioperoneal trunk. Combined thrombolytic therapy with Urokinase was performed in 14 patients.RESULTS:
Involved infrapopliteal vessels werefour distal popliteal arteries, 15 tibioperoneal trunks, six anterior tibial arteries, five posterior tibialarteries, and seven peroneal arteries. Technical success was determined when post-PTA angiogram showed less than 30% of residual stenosis. Clinical success was defined as improvement of clinical symptoms, such as disappearance of claudication or rest pain, and healing of ulceration. Technical success was achieved in 30 of 36 arteries(83%). Clinical success was achieved in 12 of 16 patients(75%) at an average follow-up of 13.3 months(range, 2-46 months). Clinical success rate was 100% in grade 1 category 3 patients, 67% in grade 2 category 4 patients, and 63% in grade 3 category 5 patients. Complication included two distal emboli, one vessel rupture, one vessel thrombosis, and one occluding intimal flap.CONCLUSION:
PTA was an effective method for treatment of chronicarterial occlusive disease below the knee joint and considered as the procedure of first choice. Severe claudicant(grade 1) should be included in the indication of the tibioperoneal PTA.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Popliteal Artery
/
Arterial Occlusive Diseases
/
Arteries
/
Rupture
/
Ulcer
/
Urokinase-Type Plasminogen Activator
/
Retrospective Studies
/
Follow-Up Studies
/
Tibial Arteries
/
Angioplasty
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1996
Type:
Article
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