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Complications following peripheral angioplasty
1Department of Vascular Surgery, Leicester Royal Infirmary, UK.
Annals of the Royal College of Surgeons of England
|March 15, 2002
Summary
Peripheral angioplasty is a safe first-choice intervention for peripheral vascular disease. This audit found a low risk of major complications, with emergency surgery needed in only 2.3% of procedures.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Peripheral angioplasty is a primary intervention for peripheral vascular disease.
- Auditing complications is crucial for patient safety and procedural refinement.
Purpose of the Study:
- To prospectively audit major complications after peripheral angioplasty.
- To specifically assess the need for emergency surgical intervention.
Main Methods:
- Prospective audit of 1377 peripheral angioplasty procedures in 988 patients.
- Data collected between October 1995 and September 1998.
- Analysis of 1619 angioplastied vessel segments.
Main Results:
- Major medical morbidity occurred in 2.4% of procedures.
- Emergency surgery was required in 2.3%, mainly for acute limb ischemia and hemorrhage.
- The overall risk of death or major complication was 3.5%.
Conclusions:
- Peripheral angioplasty demonstrates a low incidence of significant medical and surgical complications.
- The procedure is associated with a low amputation rate (0.6%).