Peripheral artery disease: one-year single-centre overview

    Authors

    Keywords

    peripheral vascular diseases, percutaneous transluminal angioplasty

    DOI

    https://doi.org/10.15836/ccar2017.382

    Full Text

    This overview is related to one year diagnostic, treatment and follow up in patient with intermittent claudication. The patients presented with intermittent claudication were selected for investigation according to the clinical data, comorbidities, functional screening testing (pletismography, segmental pressures and ABI), arterial duplex scanning and finally submitted to CT angiography that could discriminate candidates for the best treatment options; angiointerventional or vascular surgery treatment. ( 1 ) In the group of 480 patient evaluated in one year period 119 were eligible for angiointerventional or surgical procedure according to the functional testing (pletismography and ABI, arterial duplex scanning) and 114 of them were referred to CT angiography. The patients evaluated on functional data ABI and pletismography before and after the treatment in the 48 hours period (100%), 3 months after (40%) and six months (14.9%) follow up time interval. The majority of patients were treated by angiointerventional techniques (71 patient, 62%), 17 patients (14%) with optimal medical treatment and, 16 (14%) as elective surgical candidates, and the rest as urgent surgical patients as 3 of them required amputation because of life threatening critical limb ischemia. According to the data 50% of the patients treated with percutaneous transluminal angioplasty (PTA) were treated with drug eluting balloons or balloons only, while the rest PTA was done with stents. Early results were determined 48 hours after the procedure and 85% had successful outcomes according to the angiography, ABI and pletismography data. 10% of patients had some complications such as 1 retroperitoneal hematoma that needed surgical interventions, 6 minor local dissections, 4 minor hematomas, and no fatal event. In conclusion: Patient candidates were selected on functional testing and CT angiography thereafter, as resulted in proper patient selection that generate successful early interventional results. We cannot assume long term 6 months results because of low number of patients submitted for follow up evaluation.

    Cardiologia Croatica
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    Peripheral artery disease: one-year single-centre overview

    Extended Abstract
    Issue9-10
    Published
    Pages382
    PDF via DOIhttps://doi.org/10.15836/ccar2017.382
    peripheral vascular diseases
    percutaneous transluminal angioplasty

    Authors

    Ljiljana BanfićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Jasmina HranjacORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Majda Vrkić KirhmajerORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Zoran Miovski*ORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Dražen PerkovORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Savko DobrotaORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Ana Marija AldukORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Ranko SmiljanićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia

    Full Text

    This overview is related to one year diagnostic, treatment and follow up in patient with intermittent claudication. The patients presented with intermittent claudication were selected for investigation according to the clinical data, comorbidities, functional screening testing (pletismography, segmental pressures and ABI), arterial duplex scanning and finally submitted to CT angiography that could discriminate candidates for the best treatment options; angiointerventional or vascular surgery treatment. ( 1 ) In the group of 480 patient evaluated in one year period 119 were eligible for angiointerventional or surgical procedure according to the functional testing (pletismography and ABI, arterial duplex scanning) and 114 of them were referred to CT angiography. The patients evaluated on functional data ABI and pletismography before and after the treatment in the 48 hours period (100%), 3 months after (40%) and six months (14.9%) follow up time interval. The majority of patients were treated by angiointerventional techniques (71 patient, 62%), 17 patients (14%) with optimal medical treatment and, 16 (14%) as elective surgical candidates, and the rest as urgent surgical patients as 3 of them required amputation because of life threatening critical limb ischemia. According to the data 50% of the patients treated with percutaneous transluminal angioplasty (PTA) were treated with drug eluting balloons or balloons only, while the rest PTA was done with stents. Early results were determined 48 hours after the procedure and 85% had successful outcomes according to the angiography, ABI and pletismography data. 10% of patients had some complications such as 1 retroperitoneal hematoma that needed surgical interventions, 6 minor local dissections, 4 minor hematomas, and no fatal event. In conclusion: Patient candidates were selected on functional testing and CT angiography thereafter, as resulted in proper patient selection that generate successful early interventional results. We cannot assume long term 6 months results because of low number of patients submitted for follow up evaluation.