Clinical outcome and restenosis following percutaneous transluminal angioplasty for ischaemic rest pain or ulceration

1995 ◽  
Vol 82 (9) ◽  
pp. 1217-1221 ◽  
Author(s):  
S. A. Ray ◽  
I. Minty ◽  
T. M. Buckenham ◽  
A.-M. Belli ◽  
R. S. Taylor ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Rest Pain ◽  
Percutaneous Transluminal

Endovascular Treatment of Thromboangiitis Obliterans (Buerger’s Disease)

2017 ◽  
Vol 52 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Mohammad-Hadi S. Modaghegh ◽  
Shahab Hafezi
Keyword(s):  
Clinical Response ◽  
Limb Salvage ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Thromboangiitis Obliterans ◽  
Technical Failure ◽  
Rest Pain ◽  
Buerger’S Disease ◽  
Buerger's Disease ◽  
Percutaneous Transluminal

Purpose: When critical limb ischemia (CLI) occurs in patients with thromboangiitis obliterans (TAO) or Buerger’s disease, smoking cessation alone may be insufficient to relieve rest pain and promote wound healing. Accordingly, adjunctive measures are warranted to restore adequate blood flow required for limb salvage. This study aimed to evaluate the feasibility and efficacy of percutaneous transluminal angioplasty (PTA) for the treatment of patients with TAO and CLI. In addition, a review of the literature on endovascular management of TAO is included. Methods: Between April 2012 and June 2017, all patients with TAO and CLI who underwent PTA were studied retrospectively. Patient demographics, presentation, procedural details, and clinical response were recorded. Patients were monitored at 1 week, 1, 2, 3, and 6 months after revascularization and at least every 6 months thereafter. Results: Thirteen patients with TAO and CLI, who presented with rest pain only (n = 1), ischemic ulcer (n = 4), or gangrene (n = 8) underwent endovascular interventions with primary and assisted primary technical success of 85% and 92%, respectively. A below-knee amputation was eventually done in the only patient with technical failure (limb salvage rate: 92%). Following the procedures, 11 patients had clinical response, one of whom also received intra-arterial vasodilator to achieve complete symptom relief. The other patient who failed PTA underwent a successful lumbar sympathectomy. In addition, all ulcers healed and eight minor amputations were performed due to already established gangrene. During follow-up (mean: 19.4 months), four patients needed reintervention. Patients who continued to smoke experienced more severe ischemia ( P = .017) and were more likely to require reintervention ( P = .009). Conclusion: Percutaneous transluminal angioplasty can be considered as a technically feasible and potentially effective treatment for patients with TAO and CLI, as well as a last resort for limb salvage when other options have failed. However, reintervention may be required, especially in patients who continue smoking.

scholarly journals SHORT TIME RESULT OF PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY ON ISCHEMIA DIABETIC FOOT ULCER

2018 ◽  
Vol 11 (5) ◽  
pp. 4
Author(s):  
Hendry Irawan ◽  
Danny Zefanya Mooy ◽  
Ketut Putu Yasa
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Percutaneous Transluminal Angioplasty ◽  
Clinical Manifestations ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Limb Ischemia ◽  
Transluminal Angioplasty ◽  
Rest Pain ◽  
Percutaneous Transluminal

 The frequent complication of diabetes mellitus is ischemic diabetic foot ulcers (DFUs). As compared to non-diabetic people, ischemic of foot prevalence is significantly higher in diabetic people. It is related with severe clinical manifestations and the risk of critical limb ischemia and limb loss is increasing. In this case, we performed percutaneous transluminal angioplasty (PTA) in patient with ischemic DFU. A male, 58-year old, complained severe rest pain and gangrene in the fourth toe of the left foot more than 2 months. He had a history of diabetes mellitus type 2 for 4 years ago with uncontrolled blood sugar. We perform PTA to decrease the rest pain and prevent expand of the gangrene. The result of PTA was shown instant effect to reduce rest pain, pulses are easily palpable, and there was no expansion of the gangrene.

scholarly journals Percutaneous Aspiration Thrombectomy for Arterial Thromboembolic Occlusion Following Percutaneous Transluminal Angioplasty: Technical Success Rates and Clinical Outcomes

2021 ◽  
Author(s):  
Andreas Schicho ◽  
Wolf Bäumler ◽  
Niklas Verloh ◽  
Lukas Philipp Beyer ◽  
Wilma Schierling ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Thromboembolic Complications ◽  
Success Rates ◽  
Technical Success ◽  
Percutaneous Aspiration ◽  
Aspiration Thrombectomy ◽  
Technical Success Rate ◽  
Percutaneous Transluminal

Purpose We aimed to analyze the technical success rate of manual percutaneous aspiration thrombectomy (PAT) in patients with peripheral arterial thromboembolism as a complication of infrainguinal percutaneous transluminal angioplasty (PTA) and we sought to evaluate the 30-day postintervention clinical outcome. Materials and Methods We retrospectively identified 29 patients (men/women, 18/11; mean age, 74 years) who underwent infrainguinal PAT to treat thromboembolic complications of infrainguinal PTA. Primary and secondary technical successes were defined as residual stenosis of < 50 % of the vessel diameter after PAT alone and PAT with additional PTA, respectively. Clinical outcome parameters (e. g., amputation, need for further intervention) were evaluated during the first 30 days after intervention. Results The primary and secondary technical success rates were 58.6 % (17/29) and 79.3 % (23/29), respectively. Clinical outcome data were available for 93.1 % (27/29) of patients. No further intervention was required within 30 days in 81.5 % (22/27) of patients. Four patients underwent minor amputations owing to preexisting ulcerations (Rutherford Category 5), and no patients underwent major amputations (Rutherford Category 6). Revascularization of the previously treated vessel segment with PTA was necessary on the first postintervention day in one patient. Conclusion Manual PAT, with PTA if needed, has a good technical success rate and satisfactory early clinical outcome in patients with iatrogenic thromboembolic complications after infrainguinal PTA. Key Points:  Citation Format

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