Percutaneous profundaplasty in the treatment of lower extremity ischemia: results of longterm surveillance

Silva, Jose A., White, Christopher J., Ramee, Stephen R., Collins, Tyrone J., Jenkins, J. Stephen, Sabet, Sameh, Shamaileh, Qasem and Vivekananthan, Krishnamoorthy (2001). Percutaneous profundaplasty in the treatment of lower extremity ischemia: results of longterm surveillance. In: 22nd Annual Meeting of the Society-for-Cardiac-Angiography-and-Interventions, Monterey, CA, United States, (75-82). May 1999. doi:10.1583/1545-1550(2001)008<0075:PPITTO>2.0.CO;2


Author Silva, Jose A.
White, Christopher J.
Ramee, Stephen R.
Collins, Tyrone J.
Jenkins, J. Stephen
Sabet, Sameh
Shamaileh, Qasem
Vivekananthan, Krishnamoorthy
Title of paper Percutaneous profundaplasty in the treatment of lower extremity ischemia: results of longterm surveillance
Conference name 22nd Annual Meeting of the Society-for-Cardiac-Angiography-and-Interventions
Conference location Monterey, CA, United States
Conference dates May 1999
Journal name Journal of Endovascular Therapy   Check publisher's open access policy
Place of Publication Lawrence, KS, United States
Publisher Allen Press
Publication Year 2001
Sub-type Fully published paper
DOI 10.1583/1545-1550(2001)008<0075:PPITTO>2.0.CO;2
ISSN 1526-6028
1545-1550
Volume 8
Issue 1
Start page 75
End page 82
Total pages 7
Language eng
Formatted Abstract/Summary
Purpose: To assess the procedural and long-term clinical outcomes of balloon angioplasty of the profunda femoris artery in patients with severe limb ischemia.

Methods: Thirty-one consecutive patients were evaluated for severe ischemia in 32 limbs: 13 (41%) were categorized Fontaine class 2B, and 19 (59%) were class 3 or 4. The superficial femoral artery was occluded in 20 (62%) limbs; an additional vessel was treated in 22 (69%) limbs.

Results: Procedural success was achieved in 91% (31/32) of limbs. The ankle-brachial index increased from 0.5 ± 0.2 at baseline to 0.7 ± 0.2 after intervention (p < 0.01). In-hospital limb salvage was 94% (30/32), and in-hospital event-free survival was 90% (28/31). At a mean follow-up of 34 ± 20 months, no additional amputations were necessary; 3 patients required repeat revascularization, and 5 patients died. Freedom from revascularization was 88% in the 25 survivors. At follow-up, 88% of the patients had Fontaine class 1 or 2A symptoms, and only 12% had Fontaine class 2B or higher (p < 0.001 compared with baseline).

Conclusions: These data suggest that percutaneous profundaplasty is safe, effective, and may be considered as an alternative to surgical therapy in patients with anatomically suitable lesions.
Keyword Balloon dilation
Profunda femoris
Superficial femoral artery
Stenosis
Occlusion
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 10:29:24 EST