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In 91 patients suffering from peripheral arterial occlusive disease (Fontaine stage IIb-IV) 125 percutaneous transluminal angioplasties (PTA) of crural arteries were performed. Eighty-six of the dilatations were done in combination with a recanalization procedure (PTA, laser angioplasty, fibrinolysis) of a femoropopliteal obstruction in order to improve outflow. PTA was performed with 5 F balloon catheters 2.5 to 4 mm in diameter in combination with steerable guide wires. A primary technical success was achieved in 41 of 42 (97.6%) vessels with a single stenosis, in 64 of 68 (94.1%) vessels with 2 or more stenoses, and 9 of 15 (60%) vessels with total occlusions (overall primary success rate 91.2%). Complications included spasm (n = 3), thrombosis (n = 2), peripheral embolization (n = 2), and dissection (n = 1). None of the complications required surgical intervention. After PTA, accumulative patency rate of 71% at 2 years and 64.2% at 3 years was achieved. These results demonstrated that PTA of crural arteries is a safe procedure with an excellent primary success rate and satisfying long-term results. Thus we believe that even arterial occlusive disease in the clinical stage Fontaine IIb should be accepted as an indication for crural PTA. Furthermore, crural PTA should be used to improve reduced peripheral outflow after femoropopliteal PTA.
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
November 1990,
Radiology,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
January 1990,
VASA. Supplementum,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
January 2004,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
October 2003,
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
May 2001,
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
September 1987,
Radiology,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
January 1985,
Annales de radiologie,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
September 1992,
Zhonghua wai ke za zhi [Chinese journal of surgery],
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
September 1981,
Arizona medicine,
F Flueckiger, and
J Lammer, and
G E Klein, and
K Hausegger, and
E Pilger, and
F Waltner, and
M Aschauer
December 2007,
International angiology : a journal of the International Union of Angiology,
