Balloon angioplasty in peripheral vascular occlusive disease

Roth, F; Berliner, P.; Krings, Wolfgang; Schmidtke, I; Koppers, B; Grün, B.

doi:10.1007/978-94-009-4293-6_26

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“…In 0,3% der Fälle mußte die Komplikation operativ versorgt werden. Es ist eine Letalität von 0,2% zu beklagen [6]. Die Primär-und Langzeiterfolge der konventionellen Angiopla stie werden mit zunehmender Verschlußlänge geringer.…”

Section: Die Konventionelle Angioplastieunclassified

Die Angioplastie beim Verschluß der Arteria femoralis superficialis und der Arteria poplitea

Roth¹,

Grün²,

Roth³

1994

Viszeralmedizin

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Angioplasty is a well-accepted method in treating occlusive vascular diseases of the thigh. Conventional angioplasty is the treatment of choice in stenotic lesions and short chronic occlusions up to 10 cm length; on the other hand, acute and subacute occlusions up to 3 months duration are best treated by means of regional low dose fibrinolysis – combined with aspiration embolectomy. Distal occlusions of the femoropopliteal artery which are longer than 10 cm should also be recanalized by conventional angioplasty. Angioplasty may also be extended to the deep femoral and the lateral circumflex femoral arteries with good initial results. After conventional angioplasty as primary treatment had failed, low speed rotational angioplasty allowed to successfully recanalize occlusions of the femoropopliteal artery in 59% by a second procedure 8-12 weeks after the first intervention. In occlusions longer than 10 cm in the proximal segment of the superficial femoral artery, rotational angioplasty has a better primary success than conventional angioplasty. Atherectomy is mainly indicated in eccentric stenotic lesions. It also allows to successfully manage a conventional angioplasty that was

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Section: Die Konventionelle Angioplastieunclassified