Monitoring functional patency of percutaneous transluminal angioplasty. Arch Surg 1991 Jun;126(6):743-7
Date
06/01/1991Pubmed ID
1828144DOI
10.1001/archsurg.1991.01410300089013Scopus ID
2-s2.0-0025822502 37 CitationsAbstract
Duplex scanning and Doppler-derived blood pressure measurements were used to serially monitor lower limb hemodynamics in 73 patients who underwent percutaneous transluminal angioplasty. Ninety percutaneous transluminal angioplasty sites judged technically satisfactory by arteriography were evaluated. Significant hemodynamic improvement was seen in 81 (90%) of the 90 limbs, although both hemodynamic and clinical improvement were achieved in only 77 (86%) limbs. Duplex scanning within 1 week of successful angioplasty identified moderate (20% to 49% diameter reduction) or severe (greater than 50% diameter reduction) residual stenosis in 49 (63%) of 77 balloon-dilated arterial segments. The presence of a greater than 50% diameter reduction residual stenosis predicted further restenosis and late clinical failure (11% success rate at 1 year). When the degree of residual stenosis at the percutaneous transluminal angioplasty site was less than 50% diameter reduction by duplex scanning, the procedure was durable (80% success rate at 2 years), even in patients with critical ischemia, poor runoff, or diabetes mellitus.
Author List
Kinney EV, Bandyk DF, Mewissen MW, Lanza D, Bergamini TM, Lipchik EO, Seabrook GR, Towne JBAuthor
Gary R. Seabrook MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Angioplasty, BalloonConstriction, Pathologic
Female
Humans
Intermittent Claudication
Leg
Life Tables
Male
Middle Aged
Prospective Studies
Ultrasonics
Ultrasonography
Vascular Patency
