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Intraoperative balloon angioplasty: a useful adjunct
1Department of Surgery, King Saud University, Saudi Arabia.
Insights
Intraoperative balloon angioplasty effectively enhances bypass surgeries for arterial inflow or outflow issues. This study shows high success rates and good patency, making it a valuable vascular surgery adjunct.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Procedures
Background:
- Vascular reconstruction often requires improving arterial inflow or outflow.
- Intraoperative balloon angioplasty serves as a potential adjunct to bypass procedures.
Purpose of the Study:
- To evaluate the efficacy and outcomes of intraoperative balloon angioplasty as an adjunct to bypass surgery.
- To assess technical success, complication rates, and long-term patency.
Main Methods:
- Retrospective review of 62 patients (72 procedures) between January 1990 and January 1997.
- Procedures included iliac, superficial femoral artery (SFA), and popliteal/tibial angioplasty.
- Data collected on indications, technical success, complications, and follow-up patency.
Main Results:
- Initial technical success rates were 90% for iliac, 91% for SFA, and 63% for popliteal/tibial arteries.
- Major complication rate was 7%, with 3 amputations.
- 12-month accumulated patency rates were 90% (iliac), 78% (SFA), and 60% (popliteal/tibial).
Conclusions:
- Intraoperative balloon angioplasty is a valuable adjunct in vascular surgery.
- It effectively improves inflow or outflow when combined with reconstructive procedures.
- The technique demonstrates favorable outcomes for selected patients.
Abstract:
Intraoperative balloon angioplasty is a useful adjunct to a bypass procedure where the latter requires obvious enhancement of either inflow or outflow tracts. This retrospective study reviews experience with 62 patients (72 procedures) managed between January 1990 and January 1997 at UBC and KKUH. There were 36 men and 26 women. The indications were severe claudication in 44 (71%) patients and limb salvage in 18 (29%) patients. There were 42 cases of iliac artery (58%), 22 cases SFA (31%), and 8 cases pop/tibial (11%). The initial technical success for iliac balloon angioplasty was 90% (38 out of 42 cases), for SFA 91% (20 out of 22) and for popliteal/tibial 63%, (5 out of 8 cases). There were eight major complications, five of them treated surgically (7%), three patients needing amputations. The followup period ranged from 6 to 54 months with accumulated patency rate of 90% in iliac, 78% in SFA and 60% in pop/tibial in 12 months. Intraoperative angioplasty is a valuable adjunct to vascular surgery either to improve inflow or outflow in association with a reconstructive vascular procedure.
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