Open AccessDurability of femoropopliteal transluminal angioplasty for claudication
Author(s) -
Oshodi T. O.,
Shackcloth M.,
Ashleigh R.,
Charlesworth D.
Publication year - 2000
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1046/j.1365-2168.2000.01420-49.x
Subject(s) - medicine , claudication , angioplasty , surgery , percutaneous , ankle , stenosis , intermittent claudication , occlusion , vascular disease , arterial disease , radiology
Background: Some 200 consecutive femoropopliteal transluminal percutaneous angioplasties (PTAs) in patients with claudication were followed up to ascertain the long‐term patency. Methods: One hundred and forty‐six patients (200 angioplasties) who underwent PTA were followed up between 1991 and 1997. Clinical symptoms, ankle: brachial pressure index (ABPI) and duplex scan assessment were recorded. Mean follow‐up was 43·2 months. Results: The median age of patients was 66 (range 49–86) years, with a mean claudication distance of 68 (range 10–274) m. Primary patency at 1, 3 and 5 years was 72, 54 and 32 per cent respectively. Stenosis rather than occlusion, ABPI greater than 0·8 after angioplasty and immediate symptomatic improvement were associated with favourable outcome. Diabetes adversely affected patency. Twenty‐one patients (11 per cent) required bypass surgery following a failed PTA. Conclusion: In contrast to some reports in recent literature, long‐term patency following PTA is poor in claudicants. © 2000 British Journal of Surgery Society Ltd