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Complications of lower-limb percutaneous transluminal angioplasty: a prospective analysis of 410 procedures on 295 consecutive patients.

Abstract：

PURPOSE:To evaluate complications and their predictors in percutaneous transluminal angioplasty (PTA) of lower-limb arteries. METHODS:Complications in 410 angioplasty procedures in 295 consecutive patients (192 claudicants and 103 suffering from chronic critical ischemia) were prospectively analyzed. RESULTS:The total complication rate was 10.5% (43/410). There were 21 major complications (5%), eight of which required surgical treatment, including four hematomas, two arteriovenous fistulae, and two pseudoaneurysms at the puncture site, two retroperitoneal hematomas, and 11 thrombotic/thromboembolic complications. There were significantly more complications with treatment of occlusions compared with stenoses (18% vs 7%, p = 0.002). Women had significantly more bleeding complications than men (15% vs 6%, p = 0.032). The 30-day mortality rate in patients with critical ischemia was 10%. CONCLUSION:In lower-limb PTA a few target lesion- and patient-related determinants of complications could be identified. In patients with critical ischemia, the 30-day mortality was rather high and mainly due to associated coronary and cerebrovascular diseases.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Matsi PJ,Manninen HI

doi

10.1007/s002709900281

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

361-6

issue

5

eissn

0174-1551

issn

1432-086X

journal_volume

21

pub_type

临床试验,杂志文章

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