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Related Experiment Videos

Grading for angioplasty.

W B Campbell1, J R Higgins, C S Barker

  • 1Royal Devon and Exter Hospital (Wonford) Exeter.

Clinical Radiology
|September 1, 1988
PubMed
Summary
This summary is machine-generated.

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A new grading system for angioplasty suitability in lower limb arterial disease helps identify treatable patients. This system aids in planning interventional radiology services by assessing patient suitability for transluminal angioplasty.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Disease

Background:

  • Transluminal angioplasty is increasingly used for lower limb arterial disease.
  • Existing estimates of treatable patients lack detailed selection criteria.

Purpose of the Study:

  • To develop a clear grading system for angioplasty suitability based on arteriograms.
  • To prospectively assess patient suitability for angioplasty using this new grading system.

Main Methods:

  • A grading system for angioplasty suitability was developed based on arteriogram interpretation.
  • 118 consecutive patients undergoing arteriography for lower limb arterial disease were prospectively evaluated using the grading system.

Main Results:

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  • 35% of patients with claudication and 30% with rest pain/trophic lesions were deemed suitable for angioplasty.
  • 45% of claudicants and 40% of patients with rest pain/trophic lesions could benefit from angioplasty of aortoiliac or femoropopliteal lesions.

    • Conclusions:

    • The developed grading system provides clear criteria for assessing angioplasty suitability.
    • The findings have significant implications for the planning and provision of interventional radiology services in the UK.