Between the years 1991 to 1992, 14 patients with 16 lesions having an infrainguinal arterial occlusions longer than 5 cm, were treated by PTA, in Dept of Surgery and Radiology of İstanbul Medical Faculty. 13 patients were male and one was female with a mean age of 59.7. Indications for revascularization were cladication in 10 patients and critical is. chemia in 4. Sites of occlusion were in superficial femoral artery in 10 and in popliteal artery in 4 cases. Mean length of occlusions were 6.7 cm, with shortest 5 cm and longest 14 cm. Ali the patients received percutaneous procedure in local anesthesia. Hydrophyllic glide wire were ultimately used to pass the occluded segments. In two patients this pro- cedure was unsuccessful. Overall success rate was 87.5 % ABI were calculated as 0.4, prePTA, and 0.78 after the procedure. In 1 year follow up restenosis were spotted in 2 patients and were redilated.
In conclusion, PTA might be a possible option in long segment occlusions. This procedure can be considered as a strong option, for patients who are not candidates for surgery.
Key words: None
|
