Evaluation of endovascular intervention therapy results in chronic below-the-knee (btk) arterial occlusive disease
Main Article Content
Abstract
The study sample of 101 patients. We had counted 52.5 % female rates, average ages 75.5 ± 11.4. Chief complain symptom was a painfully, 59.4 % sample, critical limb ischemia had got 87.1%, ulcer or gangrange was 51.2% smaple. Percutaneous transluminal angioplasty (PTA) performed by 78.2%, PTA and stent replacement combination accounted for 21.8%. BTK intervention simple accounted for 34.7%, Femoropopliteal combination was 57.4%. The procedure times had 127 ± 40.8 minutes. The time of hospitalization average was 4 ± 3.1 days. Total complication was 14.9% thrombosis was 3.96%, hematoma 3%, amputation 5.94% and mortality rate had got 1 case in our research. Technique and 1 month results success rates were 86.2%, 12 months results were 53.7%. The intervention endovascular therapy of chronic arterial occlusion of the lower extremity less invasive method which is safe, effective, shorter hospital stays and faster recovery of patients. 1 month results achieve a high success rate, however the results 12 months were 53.7%.
Article Details
Keywords
Below-The-Knee (BTK) Arterial occlusive Disease, endovascular intervention, peripheral artery disease
References
2. Bruce H. Gray, Robert S. Dieter (2014), "SCAI Expert Consensus Statement for Infrapopliteal Arterial Intervention Appropriate Use", Catheterization and Cardiovascular Interventions, 84(4), 539-545.
3. Daniel Brandão, Armando Mansilha (2012), "Below the Knee Techniques: Now and Then", Angioplasty, Various Techniques and Challenges in Treatment of Congenital and Acquired Vascular Stenoses, InTech, Europe, Chap 3, 41-58.
4. Francesco Liistro, Paolo Angioli et al (2013), "Drug-Eluting Balloon in Peripheral Intervention for Below the Knee Angioplasty Evaluation (DEBATE-BTK)", Interventional Cardiology, 128, 615-621.
5. Marco Manzi et al (2012), "Revascularization of Tibial and Foot Arteries: Below the Knee Angioplasty for Limb Salvage", Angioplasty, Various Techniques and Challenges in Treatment of Congenital and Acquired Vascular Stenoses, InTech, Europe, Chap 10, 210-232.
6. Michael R. Jaff C., William R. Hiatt (2015), "An Update on Methods for Revascularization and Expansion of the TASC Lesion Classification to Include Below-the-Knee Arteries: A Supplement to the Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II)", Journal of Endovascular Therapy, 657-571.
7. Overhagen H. Van, Tsetis D. (2013), "CIRSE standards of practice guidelines : Below-the-knee Interventions ", Cardiovasc Intervent Radiol, 36, 302-311.
8. Joseph L. Mills, David G. Armstrong, et al (2014), "The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI)", J Vasc Surg, 59(1), 220-234.
9. Sobieszczyk et al (2013), "Management of patients after endovascular interventions for peripheral artery disease", Circulation, 128(7), 749-757.
10. Steiner S, Schmidt A, Bausback Y, Bräunlich S, Ulrich M, Banning-Eichenseer U, Scheinert D.(2016): " Single-Center Experience With Lutonix Drug-Coated Balloons in Infrapopliteal Arteries " J Endovasc Ther. 2016 Jun;23(3):417-23
11. DeRubertis B. G., Faries P. L., McKinsey J. F., Chaer R. A., Pierce M., Karwowski J., et al. (2007), "Shifting paradigms in the treatment of lower extremity vascular disease: a report of 1000 percutaneous interventions", Ann Surg, 246(3), 415-422; discussion 422-414