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Titolo:
Arterial vessel perforations in interventional recanalizations of femoro-popliteal occlusions
Autore:
Ragg, JC; Biamino, G;
Indirizzi:
Humboldt Univ, Klinikum Rudolf Virchow, Klin Intervent Angiol, D-1086 Berlin, Germany Humboldt Univ Berlin Germany D-1086 rvent Angiol, D-1086 Berlin, Germany
Titolo Testata:
ZENTRALBLATT FUR CHIRURGIE
fascicolo: 1, volume: 125, anno: 2000,
pagine: 34 - 41
SICI:
0044-409X(2000)125:1<34:AVPIIR>2.0.ZU;2-O
Fonte:
ISI
Lingua:
GER
Soggetto:
LASER-ANGIOPLASTY; BALLOON ANGIOPLASTY; MECHANICAL RECANALIZATION; GUIDED COMPRESSION; VASCULAR-SURGERY; DISEASE; COMPLICATIONS; ATHERECTOMY; MANAGEMENT; INJURIES;
Keywords:
perforation; intervention; recanalization; peripheral arteries; ultrasound; guided compression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Ragg, JC Praxis Profs Mathey Schofer & Partner, Othmarscher Kirchenweg 168, D-22763Hamburg, Germany Praxis Profs Mathey Schofer & Partner OthmarscherKirchenweg 168 Hamburg Germany D-22763
Citazione:
J.C. Ragg e G. Biamino, "Arterial vessel perforations in interventional recanalizations of femoro-popliteal occlusions", ZBL CHIR, 125(1), 2000, pp. 34-41

Abstract

Interventional recanalizations may induce wall perforations. The aim of this study was to evaluate the incidence and the management of this complication in chronic femoropoliteal occlusions.512 cases undergoing interventional recanalization (PTA or Excimer laser-assisted angioplasty) of femoropopliteal occlusions between 5 and 32 cm in length(mean: 13.8 cm) were included. Perforations were immediately examined by angiography or colour-coded ultrasonography (7,5 MHz). Perforations were observed in 22/512 cases (4.3 %). The event was coincident with guide-wire manipulations in 16/512 cases (3.1 %), laser catheter advancement without wire guidance in 3/58 cases (5.2 %), and balloon dilatation in 3/431 cases (0.7 %), while lasering via wire guidance (n = 408) did not induce perforation. Combining treatment with prolonged balloon dilatation (success: 6/8, recurrent bleeding: 4/6), ultrasound-guided compression (UGC; success: 20/20) and regulation of anticoagulation. all active bleedingscould be terminated. Due to perforation, 12/512 cases (2.3 %) required repeated interventions for successful recanalization. Except hematomas of 15-320 ml volume (ultrasound measurement) and prolonged hospital stays for 24-72 h, no further clinical sequelae resulted. In conclusion, perforations occurring during recanalization of long and chronic femoropopliteal occlusions have to be considered as primary interventional failure. However, with immediate treatment including UGC, the risk ofserious clinical sequelae is low.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 20:05:36