Author + information
- Sakir Arslan,
- Isa Oner Yuksel,
- Erkan Koklu,
- Goksel Cagırcı,
- Selcuk Kucukseymen,
- Nermin Bayar,
- Akar Yilmaz,
- Zehra Erkal,
- Cem Yunus Bas,
- Gorkem Kus and
- Murat Esin
Our goal is to evaluate the effectiveness, reliability, advantages and the results of early-to-mid-term of percutaneous treatment of lower extremity strictures.
Technological advances in the past decade have shifted revascularization strategies from traditional open surgical approaches toward lower-morbidity percutaneous endovascular treatments for patients with lower extremity peripheral arterial disease (PAD). The role of endovascular interventions is also expanding in the treatment of limb-threatening ischemia. Especially in chronic limb ischemia and foot ulcers, diabetic patients with inoperable, there is growing interest below the knee interventions.
Between May 2011 and May 2013, 85 patients with stenosis of the lower limb arteries (iliac-femoral-popliteal-below the knee) and treated percutaneously, enrolled in the study. Although medical therapy, patients with intermittent claudication and have >70% stenosis in iliac or femoral artery, stenting procedure was performed after primary stenting or balloon angioplasty. Symptomatic patients with >70% stenosis of popliteal or below-knee artery, balloon angioplasty was performed. After the patients were followed up clinically.
Tecnical success was achieved in 84 patients (98,8%). Predilatation before stent placement, 33,3% of cases performed. Post dilation procedure was performed in 66,6% of patients with used the self-expanding stent. 84 patients with iliac-femoral artery stenosis, stenting procedure is applied and concomitantly 6 patients with popliteal artery and distal to the stenosis, the balloon angioplasty was performed. Average follow-up time was 10,0±6,3 months. (1 – 25 Months). Including death, myocardial infarction, major bleeding complications were not observed depending on percutaneous procedures. Iliac stent in a patient as a complication inferior vena cava fistula formation, this complication was treated using a stent-graft. 7 patients with diabetes and foot wounds that never heal, healed wounds were observed during follow-up after the procedure. In the clinical follow-up, claudication complaints decreased and increased walking distances observed.
Technical success rate and early-midterm outcomes of percutaneous treatment for PAD are magnificent. We believe that percutaneous treatment methods in lower extremity arterial stenosis, will be more widespread with percutaneous treatment techniques and operator experience increases.
|Average age (years)||61,6 (36-85)|
|Diyabetes Mellitus (%)||56,0|
|Coronary Artery Disease (%)||87,8|
|Gender (male %)||87,1|