Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Excimer laser-assisted recanalisation of femoral arterial stenosis or occlusion caused by the use of Anglo-Seal
Autore:
Steinkamp, HJ; Werk, M; Beck, A; Teichgraber, U; Haufe, M; Felix, R;
Indirizzi:
Humboldt Univ, Charite Campus Virchow Klinikum, Dept Radiol, D-13353 Berlin, Germany Humboldt Univ Berlin Germany D-13353 ept Radiol, D-13353 Berlin, Germany
Titolo Testata:
EUROPEAN RADIOLOGY
fascicolo: 8, volume: 11, anno: 2001,
pagine: 1364 - 1370
SICI:
0938-7994(2001)11:8<1364:ELROFA>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
PUNCTURE CLOSURE DEVICE; ACCESS SITE; CARDIAC-CATHETERIZATION; VASCULAR COMPLICATIONS; RANDOMIZED TRIAL; ANGIOPLASTY; HEMOSTASIS; MANAGEMENT; BALLOON;
Keywords:
angioplasty; laser assisted; peripheral artery disease;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Steinkamp, HJ Humboldt Univ, Charite Campus Virchow Klinikum, Dept Radiol,Augustenburger Pl 1, D-13353 Berlin, Germany Humboldt Univ Augustenburger Pl 1 Berlin Germany D-13353 ny
Citazione:
H.J. Steinkamp et al., "Excimer laser-assisted recanalisation of femoral arterial stenosis or occlusion caused by the use of Anglo-Seal", EUR RADIOL, 11(8), 2001, pp. 1364-1370

Abstract

The aim of this study was to demonstrate the effect of excimer laser and balloon angioplasty of femoral artery stenosis and occlusion after use of a haemostatic puncture closure device. A haemostatic puncture closure device (Angio-Seal) was used in 6000 patients after diagnostic or therapeutic artery catheterisation. In 34 of those patients symptoms of peripheral artery disease occurred. Sixteen of those 34 cases were transferred to our clinic for excimer laser angioplasty. All 16 patients presented with symptoms of acute peripheral artery disease within 1-14 days: superficial femoral artery (SFA) occlusions (4 cases); superficial femoral artery stenosis (3 cases); high-grade stenosis of the common femoral artery (CFA; 3 cases); high-gradestenosis of CFA; SFA and profund femoral artery (PFA; 3 cases); and occlusions of CFA, SFA and PFA (3 cases). Before any procedure was performed, informed consent was given by the patient, which included the use of the AngioSeal closure device. Every patient who had to undergo recanalisation procedures gave additional informed consent which especially included the usage of the excimer laser for recanalisation. A measurement of the walking distance, ankle-brachial systolic pressure index (ABI) and diagnostic angiographywas performed in 13 cases before and immediate after as well as 3 and 6 months after therapeutic percutaneous transluminal laser angioplasty followedby balloon angioplasty (PTLA/PTA). In 3 patients the risks of PTLA/PTA wasconsidered too high; those patients underwent surgical repair. Angiographic and clinical improvement was achieved in 13 of 13 patients. The mean walking distance increased from 81 to > 400 m. The average ankle-brachial systolic pressure index (ABI) increased from 0.47 to 0.84. One patient developeda dissection of the SFA, and in 1 case a peripheral embolisation was seen. The PTLA/ PTA technique is a successful therapeutic option for patients with femoral artery occlusion or high-grade stenosis after Angio-Seal application.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 05:57:27