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Titolo:
RECANALIZATION OF FEMOROPOPLITEAL OCCLUSIVE LESIONS - A COMPARISON OFLONG-TERM CLINICAL, COLOR DUPLEX US, AND ARTERIOGRAPHIC FOLLOW-UP
Autore:
VROEGINDEWEIJ D; TIELBEEK AV; BUTH J; VANKINTS MJ; LANDMAN GHM; MALI WPTM;
Indirizzi:
CATHARINA HOSP,DEPT RADIOL,MICHELANGELOLAAN 2 5623 EJ EINDHOVEN NETHERLANDS CATHARINA HOSP,DEPT VASC SURG 5623 EJ EINDHOVEN NETHERLANDS UNIV STATE HOSP,DEPT RADIOL UTRECHT NETHERLANDS
Titolo Testata:
Journal of vascular and interventional radiology
fascicolo: 3, volume: 6, anno: 1995,
pagine: 331 - 337
SICI:
1051-0443(1995)6:3<331:ROFOL->2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANS-LUMINAL ANGIOPLASTY; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; PERIPHERAL ARTERY OCCLUSIONS; LASER-ASSISTED ANGIOPLASTY; LOWER-EXTREMITY ISCHEMIA; THERMAL ANGIOPLASTY; DISEASE; STENOSIS; PROBE;
Keywords:
ARTERIES, FEMORAL; ARTERIES, POPLITEAL; ARTERIES, STENOSIS OR OBSTRUCTION; ARTERIES, TRANSLUMINAL ANGIOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
D. Vroegindeweij et al., "RECANALIZATION OF FEMOROPOPLITEAL OCCLUSIVE LESIONS - A COMPARISON OFLONG-TERM CLINICAL, COLOR DUPLEX US, AND ARTERIOGRAPHIC FOLLOW-UP", Journal of vascular and interventional radiology, 6(3), 1995, pp. 331-337

Abstract

PURPOSE: To assess the merits of clinical examination, color-flow duplex ultrasound (US), and arteriography in the follow-up of patients who have undergone femoropopliteal artery recanalization for occlusive disease. PATIENTS AND METHODS: Recanalization of the occluded femoropopliteal artery was attempted in 62 patients. Follow-up included clinical examination, ankle-brachial blood pressure measurement, and duplex US scanning at 4-month intervals during the first year, at 6-month intervals during the second year, and once a year thereafter. Failure of recanalization included substantial restenosis or reocclusion of the treated segment. Arteriography was performed at the end of the first year or earlier if recurrence was suspected. Agreement of clinical findings with those of duplex US and those of arteriography was determined with kappa statistics; a kappa value of greater than 0.75 represented excellent agreement. RESULTS: Recanalization was technically successfulin 51 patients (82%). Clinical patency was 63% (standard error [SE], 6%) after 1 year, 56% (SE, 7%) after 2 years, and 46% (SE, 9%) after 3years. When technical failures were included, the patency rate at duplex US was 58% (SE, 6%) after 1 year, 40% (SE, 7%) after 2 years, and 33% (SE, 8%) after 3 years. The patency rate at arteriography was 53% (SE, 7%) after 1 year, 33% (SE, 7%) after 2 years, and 30% (SE, 8%) after 3 years. When arteriographic examination was considered the standard of reference, diagnostic accuracy in the identification of recurrent lesions was 94% at duplex US (kappa = 0.88) and 74% at clinical examination (kappa = 0.51). CONCLUSION: Rates of restenosis or occlusion detected at followup with duplex US and arteriography were comparable. However, clinical examination alone helped detect fewer cases of recurrent disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 18:15:31