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Endovascular treatment for intermittent claudication in patients who do not improve with clinical treatment

Nelson Wolosker1, Livio Nakano, Ruben Ayzin Rosoky

  • 1Division of Vascular Surgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil. nwolosker@yahoo.com.br

Clinics (Sao Paulo, Brazil)
|June 18, 2005
PubMed

Insights

Endovascular treatment offers lasting relief for intermittent claudication in selected patients. This procedure demonstrates high patency rates and positive long-term outcomes, making it a viable alternative to conservative methods.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Peripheral Artery Disease Management

Background:

  • Intermittent claudication significantly impacts quality of life.
  • Conservative treatments often yield suboptimal results for severe cases.
  • Endovascular approaches offer a minimally invasive option for revascularization.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of endovascular treatment for intermittent claudication.
  • To assess outcomes in patients refractory to conservative management.
  • To analyze patency rates, walking distance improvement, and morbidity/mortality.

Main Methods:

  • A retrospective analysis of 62 patients with intermittent claudication treated between 1992 and 2002.
  • Long-term follow-up (mean 76 months, up to 120 months) was conducted.
  • Key variables included arterial segment patency, walking distance, and clinical outcomes.

Main Results:

  • 94% of patients experienced improved walking ability post-procedure.
  • The arterial patency rate was 82% over the follow-up period.
  • Late thrombosis occurred in 6 patients, with cardiovascular events contributing to observed mortality.

Conclusions:

  • Endovascular treatment provides lasting improvement for selected intermittent claudication patients.
  • High patency rates and favorable long-term results support its use.
  • This minimally invasive technique is a safe and effective alternative for managing refractory cases.
Abstract

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