Determinants of Procedural Success and Patency Following Subintimal Angioplasty in Patients With TASC C and D Femoropopliteal Arterial Disease

• Kim Seung Ju

  The Cardiovascular Center of Gwangju Veterans Hospital

• Kim Weon

  Department of Internal Medicine, Kyung Hee University Medical Center, Kyung Hee University

• Kim Jong Bum

  The Cardiovascular Center of Gwangju Veterans Hospital

• Hong Myung Ju

  The Cardiovascular Center of Gwangju Veterans Hospital

• Kang Won Yu

  The Cardiovascular Center of Gwangju Veterans Hospital

• Hwang Sun Ho

  The Cardiovascular Center of Gwangju Veterans Hospital

• Kim Wan

  The Cardiovascular Center of Gwangju Veterans Hospital

抄録

Background: Subintimal percutaneous transluminal angioplasty (SIA) is a treatment option for long segment occlusions in the lower limb arteries. In the present study the factors influencing success and patency following SIA in patients with TransAtlantic Inter-Society Consensus (TASC) C and D peripheral arterial disease (PAD) were investigated. Methods and Results: The 63 consecutive SIAs were performed in 54 consecutive patients suffering from limb ischemia with TASC C and D lesions. Follow-up consisted of routine office visits with pulse examination, ankle-brachial index (ABI), and serial surveillance by color duplex ultrasound and scanning at 3- to 6-month intervals for 1 year. The morphology of lesions in all patients were type C (n=13, 20.6%) or type D (n=50, 79.4%). SIA was technically successful in 59 of 63 arterial occlusive lesions (93.6%). Post-procedural ABI was 0.89±0.16. The mean increase in ABI after SIA was 0.45 (range, 015-0.87). The primary patency rate at 12 months was 51.7%. Occlusion length, lesions involving the distal superficial femoral artery (SFA), and post-procedural distal run-off vessels (P=0.04, 0.006, 0.018, respectively) were independent patency determinants by multivariate analysis. Conclusions: The length of the occlusion, lesions involving the distal SFA, and post-procedural distal run-off vessels were strong independent predictors for 1-year patency in TASC C/D severe occlusive femoropopliteal artery disease treated by SIA.  (Circ J 2010; 74: 1959 - 1964)<br>

収録刊行物

• Circulation Journal

  Circulation Journal 74 (9), 1959-1964, 2010

  一般社団法人 日本循環器学会

キーワード

• Critical limb ischemia
• Patency
• Peripheral vascular disease
• Subintimal angioplasty

詳細情報

• CRID: 1390282680081505792
• NII論文ID: 10026971757
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-10-0106
• ISSN: 13474820
• ISSN: 13469843
• Web Site: http://www.jstage.jst.go.jp/article/circj/74/9/74_CJ-10-0106/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2011065106
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可