Application of interventional endovascular treatment for lower extremity arteriosclerosis occlusion

doi:10.3877/cma.j.issn.2095-5782.2014.02.009

Abstract

Abstract:

Objective

To explore interventional endovascular treatment for lower extremity arteriosclerosis occlusion (LEASO).

Methods

A total of 40 interventional operations were applied in 37 patients with LEASO. There were 56 vascular lesions, including 39 sclerotic lesions (39/56, 69.64%) and 17 occlusive lesions (17/56, 30.36%). There were 19 iliac lesions (19/56, 33.93%), 30 femoral lesions (30/56, 53.57%) and 7 tibial lesions (7/56, 12.50%).

Results

Stents were applied in 6 lesions. Percutaneous transluminal angioplasty (PTA) was applied in 9 lesions. PTA combined with stents were applied in 38 lesions. The success rate of operation was 94.64% (53/56 ). No death occurred within 30 days after treatments. The symptoms of lower limb ischemia were palliated or vanished in operation successful patients. Pre-operation ankle brachial index (ABI) was 0.35±0.05, post-operation ABI increased to 0.73±0.14 (P<0.01).

Conclusions

Interventional endovascular treatment has an high success rate, it is safe and effective for LEASO, and can significantly improve clinical symptoms.

Key words: Arteriosclerosis occlusion, Interventional endovascular treatment, Stents, Percutaneous transluminal angioplasty

Yiming Zhou, Lei Jiang, Renyou Zhai, Kun Gao, Baojie Wei, Jianfeng Wang, Qiang Huang. Application of interventional endovascular treatment for lower extremity arteriosclerosis occlusion[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(02): 33-36.

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