Duplex Ultrasound-Guided of Balloon Angioplasty Femoral Artery

ABSTRACT

PURPOSE: To evaluate initial technical success, procedural complication rate, and early patency of duplex sound guided angioplasty we studied 10 consecutive cases. METHOD: From June to August 2005, 10 patients (all male, mean age 64.8) underwent duplex sound guided femoral balloon angioplasty. The common femoral artery was cannulated under ultrasound guidance. Under continued ultrasound guidance a guide wire was introduced into the proximal superficial femoral artery. After the guide wire crossed the diseased segment, a balloon catheter was introduced and then the balloon catheter was inflated. Completed duplex examinations and ABI (ankle/brachial artery pressure index) were obtained in all cases. RESULT: Critical ischemia was included for the procedure in 60% and disabling claudication in remaining 40%. Anatomical lesions were identified at the superficial femoral artery in 90% of cases and at the deep femoral artery in remaining 10%. The lesion characteristics were critical stenosis in 80% of case and occlusion in 20%. For seven patients it was performed as a single therapeutic procedure; however, for three patients it was performed as an added procedure for bypass surgery. Technical success was noted in 100% of cases with an average increase of ABI of 0.4. CONCLUSION: Duplex ultrasound guided balloon angioplasty appears to be a safe and effective technique for the treatment of infrainguinal arterial occlusive disease. Technical advantages include accurate selection of the proper size balloon and confirmation of the adequacy of the technique by hemodynamic and imaging parameters as well as the avoidance of radiation exposure. But needs long term follow up.