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Arch Iran Med. 2018;21(3): 118-121.
PMID: 29688737
Scopus ID: 85065469773
  Abstract View: 827
  PDF Download: 674

Original Article

Endovascular Procedures in Treatment of Infrapopliteal Arterial Occlusive Disease: Single Center Experience With 69 Infrapopliteal Procedures

Pasternak J. Janko 1*, Budakov B. Nebojsa 1, Petres V. Andrej 2

1 Department of Vascular Surgery, Clinical Centre of Vojvodina, University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
2 Department of Radiology, Clinical Centre of Vojvodina, University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Corresponding Author: Pasternak J. Janko, MD; General and Vascular Surgeon, Chair of Department of Surgery, Faculty of Medicine, University of Novi Sad, Novi Sad, Hajduk Veljka 1, 21000, Novi Sad, Serbia. Tel: +38-1648059798, Fax: +38-121421545 janko.pasternak@mf.uns.ac.rs

Abstract

Background: Peripheral arterial occlusive disease (PAD) includes acute and chronic disorders of the blood supply as a result of obstruction of blood flow in the arteries of the limb. Treatment of PAD can be conservative, surgical and endovascular. Percutaneous transluminal angioplasty with or without stenting has become a recognized method, which is increasingly used in treatment of arterial occlusive disease. This study aimed to determine early results of endovascular treatment of critical limb ischemia (CLI) patients with infrapopliteal lesions.

Methods: The study included 69 patients (46 men; mean age 65 years, range 38–84) with CLI (class 4 to 6 according to Rutherford). The primary study endpoints were absence of major amputation of the target limb at 6 months and occurance of local and systemic complications specifically related to use of endovascular treatment. 

Results: Major amputation was avoided in 61 patients. Through 6 months, 6 patients underwent additional revascularization. One local complication (clinicaly significant dissection of popliteal artery) occurred, and it was resolved by stent implantation. There were no cases of systemic complications and death during the follow-up period. Rates of major amputation were 12.3% for diabetics versus 8.3% for non-diabetics.

Conclusion: Our data showed that endovascular treatment of infrapopliteal disease is an effective and safe treatment in patients experiencing CLI, provides high limb preservation and low complication rates. Study outcomes support endovascular treatment as a primary option for patients experiencing CLI due to below the knee (BTK) occlusive disease.  

Keywords: Angioplasty, Balloon, Endovascular procedures, Peripheral arterial disease, Tibial arteries
Cite this article as: Janko PJ, Nebojsa BB, Andrej PV. Endovascular procedures in treatment of infrapopliteal arterial occlusive disease: single center experience with 69 infrapopliteal procedures. Arch Iran Med. 2018;21(3):118–121.
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Submitted: 20 Aug 2016
Accepted: 29 Nov 2017
ePublished: 01 Mar 2018
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