Clinical outcome and restenosis following percutaneous transluminal angioplasty for ischaemic rest pain or ulceration. Percutaneous transluminal angioplasty for lower- limb critical ischaemia

1996 ◽  
Vol 83 (1) ◽  
pp. 135-136 ◽  
Author(s):  
P. P. Skinner ◽  
J. Y. Mackinlay ◽  
R. J. Cuschieri
Keyword(s):  
Clinical Outcome ◽  
Lower Limb ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Rest Pain ◽  
Critical Ischaemia ◽  
Percutaneous Transluminal

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

Percutaneous transluminal angioplasty for lower-limb critical ischaemia

1995 ◽  
Vol 82 (9) ◽  
pp. 1232-1235 ◽  
Author(s):  
N. J. M. London ◽  
K. Varty ◽  
R. D. Sayers ◽  
M. M. Thompson ◽  
P. R. F. Bell ◽  
...  
Keyword(s):  
Lower Limb ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Critical Ischaemia ◽  
Percutaneous Transluminal

scholarly journals Percutaneous transluminal angioplasty for lower limb ischaemia

1999 ◽  
Vol 86 (5) ◽  
pp. 704-704 ◽  
Author(s):  
J. Brittenden ◽  
G. C. Beattie ◽  
I. Gillespie ◽  
K. McBride ◽  
G. McInnes ◽  
...  
Keyword(s):  
Lower Limb ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia ◽  
Percutaneous Transluminal

Validation of the Finnvasc Score in Infrainguinal Percutaneous Transluminal Angioplasty for Critical Lower Limb Ischemia

2008 ◽  
Vol 22 (4) ◽  
pp. 547-551 ◽  
Author(s):  
Aristotelis Kechagias ◽  
Jukka Perälä ◽  
Kari Ylönen ◽  
Muhammad Ali Asim Mahar ◽  
Fausto Biancari
Keyword(s):  
Lower Limb ◽  
Percutaneous Transluminal Angioplasty ◽  
Limb Ischemia ◽  
Transluminal Angioplasty ◽  
Lower Limb Ischemia ◽  
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.

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