Popliteal artery branches: percutaneous transluminal angioplasty

Sprayregen, Seymour; Sniderman, K W; Ta, Sos; Vieux, Ulrick; A, Singer; Fj, Veith

doi:10.2214/ajr.135.5.945

Cited by 36 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The major factor accounting for the differences in the results of our study and the better results pre- viously reported by us and by other authors appears to be patient selection. 6,7,27,28 Our early enthusiasm for these less-invasive procedures in carefully selected patients prompted us to expand the indications to include patients with longer occlusions, previously failed bypass grafts, or diffusely diseased arteries. Our hope was that these expanded indications for PTA would prove to be effective.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous transluminal angioplasty for the treatment of limb threatening ischemia: Do the results justify an attempt before bypass grafting?

Parsons

Suggs

Lee

et al. 1998

Journal of Vascular Surgery

116

View full text Add to dashboard Cite

Common iliac artery PTA is justified in most cases in which it is feasible. However, when PTAs are performed below the inguinal ligament, the results are markedly worse. One-year patency rates of PTA in this group of patients with threatened limbs are inferior to the patency rates of arterial bypass grafts, even when these bypasses are performed with a prosthetic material. PTA should not be considered as a primary treatment modality for patients with infrainguinal arterial occlusive disease who also have limb-threatening ischemia, except in unusual circumstances.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous transluminal angioplasty for the treatment of limb threatening ischemia: Do the results justify an attempt before bypass grafting?

Parsons

Suggs

Lee

et al. 1998

Journal of Vascular Surgery

116

View full text Add to dashboard Cite

show abstract

“…In the direct surgery of the aortic bifurcation, 25% of patients develop subsequent lesions in the inflow and 75% in the outflow tract [40]. Patency rates vary from 82% after 5 years to 72% after 10 years [29,32,41]. In extra-anatomical bypass, patency is 75% after 3 years with a limb salvage rate of 90% [28,42].…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…Dilatation (Dotter's technique) is a relatively recent technique and, therefore, results are difficult to evaluate. It appears more encouraging for iliac stenosis [41,58,59]; the patency rate at 5 years is at least 50% of the initial patency rate (77-92%). In lesions of the femoral artery, the early rethrombosis rate seems high and the patency rate after 5 years is lower (11.5%) [41].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Selection of a treatment plan in chronic atheromatous limb ischemia

Bergeron

1983

World j. surg.

View full text Add to dashboard Cite

The treatment plan in chronic atheromatous limb ischemia can only be established after quantifying functional problems by noninvasive techniques and after comparing the risk of the natural progression of the disease with the risk and possible outcome of surgical intervention. When claudication is at an advanced stage, reconstructive surgery is indicated. Aortofemoral bypass is preferable to thromboendarterectomy, its mortality rate being lower (2-3%) and long-term patency rate better (82% after 5 years and 72% after 10 years). Thromboendarterectomy must be reserved for segmental lesions of the common iliac artery. The extraanatomical bypass has a similar patency rate, but it should be reserved for patients in whom a direct approach is contraindicated. Direct surgery below the inguinal ligament gives satisfactory results when the internal saphenous vein can be utilized.There is little difference in patency rate among the types of prostheses in use; it depends on the preoperative outflow and it decreases from 76% to 42% after 5 years if peripheral lesions are present.In the case of rest pain or trophic problems, reconstructive surgery is obligatory. The revascularization of the profunda femoris artery ensures limb salvage. It is possible to avoid amputation of the leg if distal disease is present provided that 1 pedal arch is functioning. Indications for primary amputation still depend on the patient's age and general state of health.

show abstract