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Percutaneous transluminal angioplasty of crural arteries: diabetes and other factors influencing outcome

Danielsson, Gudmundur LU ; Albrechtsson, Ulf LU ; Norgren, Lars LU ; Danielsson, Peter LU ; Ribbe, Else LU ; Thörne, Johan LU and Zdanowski, Z (2001) In European Journal of Vascular and Endovascular Surgery 21(5). p.432-436
Abstract
OBJECTIVE: to evaluate the efficacy of percutaneous transluminal angioplasty (PTA) of the crural arteries. PATIENTS AND METHODS: a retrospective review of patients treated with PTA of at least one crural artery during an 8-year period (1990--1997). RESULTS: one hundred and fifty-five legs in 140 consecutive patients (mean age 74 years, range 38--91 years) were treated. In 76% a more proximal lesion was also treated. After 1 year, results were significantly better in non-diabetics (improvement rate of 66% vs 32%p <0.05). The outcome for patients with a combination of diabetes, heart disease and renal disease was significantly worse compared to all other patients with an improvement rate of only 9% after 1 year. Patients alive and not... (More)
OBJECTIVE: to evaluate the efficacy of percutaneous transluminal angioplasty (PTA) of the crural arteries. PATIENTS AND METHODS: a retrospective review of patients treated with PTA of at least one crural artery during an 8-year period (1990--1997). RESULTS: one hundred and fifty-five legs in 140 consecutive patients (mean age 74 years, range 38--91 years) were treated. In 76% a more proximal lesion was also treated. After 1 year, results were significantly better in non-diabetics (improvement rate of 66% vs 32%p <0.05). The outcome for patients with a combination of diabetes, heart disease and renal disease was significantly worse compared to all other patients with an improvement rate of only 9% after 1 year. Patients alive and not amputated at 1 year were significantly more common (p <0.05) among non-diabetics (90%), compared to diabetics (66%). The 1-year mortality for the whole group was 15%, significantly higher for diabetic patients (p =0.04). CONCLUSION: PTA of crural arteries produces reasonably good results in non-diabetic patients. Diabetic patients were doing worse than non-diabetics after a year, though 1-month results were not significantly different. Patients with diabetes, heart disease and renal disease make a high-risk group that has a significantly worse outcome. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Percutaneous transluminal angioplasty, Crural artery, Clinical outcome, Diabetes
in
European Journal of Vascular and Endovascular Surgery
volume
21
issue
5
pages
432 - 436
publisher
Elsevier
external identifiers
  • pmid:11352519
  • scopus:0034994304
ISSN
1532-2165
DOI
10.1053/ejvs.2001.1351
language
English
LU publication?
yes
id
b734b48b-e361-4a27-9ad1-144a48a6165e (old id 1122617)
date added to LUP
2008-06-26 11:27:04
date last changed
2018-01-07 09:41:44
@article{b734b48b-e361-4a27-9ad1-144a48a6165e,
  abstract     = {OBJECTIVE: to evaluate the efficacy of percutaneous transluminal angioplasty (PTA) of the crural arteries. PATIENTS AND METHODS: a retrospective review of patients treated with PTA of at least one crural artery during an 8-year period (1990--1997). RESULTS: one hundred and fifty-five legs in 140 consecutive patients (mean age 74 years, range 38--91 years) were treated. In 76% a more proximal lesion was also treated. After 1 year, results were significantly better in non-diabetics (improvement rate of 66% vs 32%p &lt;0.05). The outcome for patients with a combination of diabetes, heart disease and renal disease was significantly worse compared to all other patients with an improvement rate of only 9% after 1 year. Patients alive and not amputated at 1 year were significantly more common (p &lt;0.05) among non-diabetics (90%), compared to diabetics (66%). The 1-year mortality for the whole group was 15%, significantly higher for diabetic patients (p =0.04). CONCLUSION: PTA of crural arteries produces reasonably good results in non-diabetic patients. Diabetic patients were doing worse than non-diabetics after a year, though 1-month results were not significantly different. Patients with diabetes, heart disease and renal disease make a high-risk group that has a significantly worse outcome.},
  author       = {Danielsson, Gudmundur and Albrechtsson, Ulf and Norgren, Lars and Danielsson, Peter and Ribbe, Else and Thörne, Johan and Zdanowski, Z},
  issn         = {1532-2165},
  keyword      = {Percutaneous transluminal angioplasty,Crural artery,Clinical outcome,Diabetes},
  language     = {eng},
  number       = {5},
  pages        = {432--436},
  publisher    = {Elsevier},
  series       = {European Journal of Vascular and Endovascular Surgery},
  title        = {Percutaneous transluminal angioplasty of crural arteries: diabetes and other factors influencing outcome},
  url          = {http://dx.doi.org/10.1053/ejvs.2001.1351},
  volume       = {21},
  year         = {2001},
}