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[Long-term results after endovascular treatment of peripheral arterial occlusions]
Objective:
Presentation of our long-term results with endovascular treatment of peripheral arterial occlusive disease.
Patients And Methods:
We report on 115 patients (98 male, 17 female), average 67 years, with 141 occlusions or stenoses in the iliac or femoral arteries that were treated by laser-angioplasty.
Results:
Excellent primary results were obtained in 93 % of the stenoses and 74 % of the occlusions. The results depended on the length of the lesions. In femoro-popliteal lesions < 10 cm length a success rate of 98 % could be observed, in lesions > 10 cm it was 71 %. The same was true for iliac lesions: the clinical success rate was 91 % in lesions < 5 cm as compared to 44 % in lesions > 5 cm. The long-term results were even satisfactory, the patency rate ranged to 85 % in stenoses and 75 % in occlusions, resp.
Conclusion:
Laser-angioplasty in our hands is an excellent treatment modality for occlusions/stenoses of the peripheral arteries and coronaries, a strong indication anticipated.