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Percutaneous transluminal angioplasty and case selection
Radiology
|June 1, 1980
Summary
Percutaneous transluminal angioplasty (PTA) shows promise for treating arteriosclerotic occlusive disease. A study of 100 patients found PTA effective in 71%, with a high success rate in treated arteries and patients.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Devices
Background:
- Arteriosclerotic occlusive disease (AOD) is a significant cause of morbidity.
- Percutaneous transluminal angioplasty (PTA) is an emerging treatment modality for AOD.
- Limited data exists on PTA's application, patient selection, and outcomes in the US.
Purpose of the Study:
- To evaluate the efficacy and safety of PTA for AOD.
- To determine optimal patient selection criteria for PTA.
- To assess the procedural success and complication rates of PTA.
Main Methods:
- Retrospective analysis of 100 consecutive patients evaluated for PTA.
- Categorization of patients into five groups based on procedural acceptability.
- Detailed review of procedural data, including number of treated arteries and patient outcomes.
Main Results:
- PTA was indicated for 71% of the evaluated patients.
- 117 arteries were treated in 56 patients.
- A primary success rate of 91.5% for treated arteries and 82% for patients was achieved.
Conclusions:
- PTA is a potentially effective treatment for arteriosclerotic occlusive disease.
- Careful patient selection is crucial for successful PTA outcomes.
- PTA offers a viable alternative to surgical intervention for select AOD patients.