Percutaneous transluminal angioplasty following endarterectomy.

Tisnado, Jaime; Vines, Frederick S.; Rw, Barnes; Beachley, Michael C.; Cho, Shao-Ru

doi:10.1148/radiology.152.2.6234617

Cited by 13 publications

(2 citation statements)

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“…PTA is a stressful event for the intima and underlying media, and, subsequently, reactive intimal hyperplasia with fibrosis can occur as part of the healing process. 16 This can ultimately result in extreme calcification of the arterial wall. We encountered eight patients with a medical history of PTA alone and one patient with PTA and stent.…”

Section: Discussionmentioning

confidence: 99%

Does Conversion of Intended Remote Iliac Artery Endarterectomy Alter the Early and Long-Term Outcome?

et al. 2005

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The purpose of this study was to compare the perioperative and long-term results of initial successful remote iliac artery endarterectomies (RIAEs) with converted procedures. From April 1994 to September 2003, 63 remote endarterectomies of the external and/or common iliac artery were planned in 62 patients (41 males, 42 procedures). The median age was 65 years (range 39-83 years), and the indication for operation was severe claudication in 37 (59%), rest pain in 16 (25%), and gangrene in 10 (16%) procedures. Initial technical success was achieved in 56 (89%) procedures (group 1); seven conversions (group 2) were necessary. In group 1, the 5-year primary patency rate improved from 64 +/- 15% to a primary assisted patency of 88 +/- 9.3% after percutaneous transluminal angioplasty in 11 patients, with 7 requiring stent placement. The 5-year secondary patency rate was 94 +/- 7.4%. The primary and secondary patency rates in group 2 were 86 +/- 19% and 100%, respectively. RIAE can be offered to patients with long occlusions of the iliac arteries as a first treatment option. The inherent risk of a possible conversion of an intended RIAE to a more invasive surgical procedure has no significant adverse clinical effect on the early and 5-year clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Does Conversion of Intended Remote Iliac Artery Endarterectomy Alter the Early and Long-Term Outcome?

et al. 2005

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“…Previous studies have shown that PTA with selective stenting of recurrent disease after previous endarterectomy is feasible and safe. 13,22,23 During the procedure, we placed a primary stent in a limited number of cases (n ϭ 24). This is not to be compared with the placement of a stent in RSFAE, which is mandatory because of the downstream location of the postendarterectomy intimal flap.…”

Section: Discussionmentioning

confidence: 99%