Distal percutaneous transluminal angioplasty through infrainguinal bypass grafts

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
A M LöfbergG Ostholm

Abstract

to evaluate the results of transluminal angioplasty (PTA) performed through infrainguinal bypass grafts for stenotic or occlusive lesions at the distal anastomosis and/or in the runoff arteries. retrospective clinical study. forty-one patients underwent 57 procedures at the distal anastomosis (n=13), in the runoff arteries (n=32) or at both locations (n=12) at a median of 9.6 months (range, 2-76 months) after infrainguinal bypass grafting. Nineteen procedures were on the popliteal artery, the rest on the crural arteries. Eleven procedures related to occlusions less than 5 cm in length. technical success was achieved in 91%. Primary and primary assisted graft patency rates at 3 years were 32% and 53%, respectively. There were no significant differences in patency rates with regard to the graft material, the type of lesion, the level of PTA, the status of runoff and the use of thrombolysis before PTA. No patients underwent amputation as a direct consequence of failed PTA or graft occlusion. One patient underwent acute surgical intervention due to graft occlusion at the time of attempted PTA. the results of PTA at the distal anastomosis and/or in the runoff arteries in limbs with infrainguinal bypass seemed to be inferior to the r...Continue Reading

References

Feb 1, 1993·The British Journal of Surgery·N J LondonA Bolia
Dec 1, 1996·Journal of Vascular Surgery·T R SullivanT F O'Donnell
Dec 31, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A D HoughtonJ F Reidy
Mar 31, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K H TønnesenM Dreyer
Jan 12, 1999·Journal of Vascular Surgery·A J AvinoA Cantor

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Citations

May 9, 2014·Journal of Vascular Surgery·Tim J van OostenbruggeGert Jan de Borst
Nov 15, 2005·Cardiovascular and Interventional Radiology·S Müller-HülsbeckT Jahnke
Oct 21, 2015·Journal of Vascular Surgery·Sanjay Dhanji PatelHany Zayed
Jun 6, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K MathurJ D Hopkins
Mar 27, 2007·Vascular·Mircea L PavkovRobert Martinez

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