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[Prognostic criteria for initial success in PTA and catheter thrombolysis]
U Stein1, M Reichardt, E Wagner
1Medizinische Abteilung des St. Josefskrankenhauses, Akademisches Lehrkrankenhaus der Universität Heidelberg.
Abstract:
The preliminary results of 1063 percutaneous dilatations (PTA) of iliac or femoropopliteal arteries were evaluated in order to establish pre-existing clinical or morphological criteria with possible influence on the early success rate. Early failure was defined as the impossibility to eliminate the arterial occlusion or re-occlusion within 48 hours. Regarding the clinical criteria the combination of long duration and advanced stage of the disease unfavourably influenced the primary success rate (failure rate of 40%). Morphological factors such as length of occlusion over 10 cm, poor run-off or existence of large arterio-venous shunts had an even worse influence on the early success rate (failure rate of 50-60%).