PMID: 9546226Apr 18, 1998Paper

Contralateral symptoms after unilateral intervention for peripheral occlusive disease

Journal of Vascular Surgery
S O de VriesM G Hunink

Abstract

The objectives of this study were (1) to determine the incidence of contralateral symptoms in patients with a unilateral intervention for peripheral arterial occlusive disease and (2) to identify characteristics that predict these symptoms. We included patients who had a unilateral surgical or percutaneous intervention for peripheral arterial occlusive disease at the Brigham and Women's Hospital (Boston) between 1990 and 1995 (n = 532). The main outcome measure was the first occurrence of contralateral critical ischemia or intermittent claudication. The annual incidence rate of contralateral critical ischemia was considerable, ranging from 3.3% to 8.3% during the first 4 years after the initial ipsilateral intervention. The annual incidence rate of contralateral critical ischemia and claudication combined varied from 7.7% to 21.3%. Cox regression analysis indicated that the initial ipsilateral symptoms and the initial contralateral ankle/brachial index can be used to predict the occurrence of contralateral symptoms. After correction was done for these two variables, we found no statistically significant effects for other factors including age, sex, diabetes, smoking, antihypertensive medication, history of coronary artery disea...Continue Reading

References

May 1, 1986·Annals of Vascular Surgery·J M CormierJ M Fichelle
Jul 12, 1995·JAMA : the Journal of the American Medical Association·M G HuninkD P Harrington
Apr 1, 1994·Journal of Vascular Surgery·J A van der VlietF G Buskens

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Citations

Aug 4, 2006·The New England Journal of Medicine·Ilias Dalainas, Giovanni Nano
Mar 8, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K VisserM G M Hunink
Oct 3, 1999·The British Journal of Surgery·I Dawson, J H Van Bockel

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