The Efficacy of Percutaneous Transluminal Angioplasty on the Limb Salvage and Recovery of Symptoms in Patients With Buerger's Disease With Critical Limb Ischemia

Buerger's disease, or thromboangiitis obliterans, is associated with limb-threatening chronic arterial lesions. In this study, we sought to investigate the efficacy of the percutaneous transluminal angioplasty method for the treatment of critical limb ischemia (CLI) in patients with Buerger...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of invasive cardiology 2020-06, Vol.32 (6), p.E158
Main Authors: Rodoplu, Orhan, Yildiz, Cenk Eray, Oztas, Didem Melis, Conkbayir, Cenk, Unal, Orcun, Ulukan, Mustafa Ozer, Meric, Mert, Ugurlucan, Murat, Kirbas, Ahmet
Format: Article
Language:English
Subjects:
Angioplasty
Angioplasty, Balloon - adverse effects
Humans
Ischemia - diagnosis
Ischemia - etiology
Ischemia - surgery
Limb Salvage
Retrospective Studies
Thromboangiitis Obliterans - complications
Thromboangiitis Obliterans - diagnosis
Thromboangiitis Obliterans - surgery
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Buerger's disease, or thromboangiitis obliterans, is associated with limb-threatening chronic arterial lesions. In this study, we sought to investigate the efficacy of the percutaneous transluminal angioplasty method for the treatment of critical limb ischemia (CLI) in patients with Buerger's disease in our modest cohort. Patients diagnosed with CLI secondary to Buerger's disease who underwent percutaneous transluminal angioplasty between May 2014 and June 2017 were retrospectively investigated. Patient demographics, presentations, procedural details, responses to percutaneous treatment, complications, limb salvage, wound healing, reinterventions, and early follow-up data were recorded. The cohort included 24 patients with Buerger's disease presenting with CLI observed in 46 limbs. Presentations were gangrene in 12 patients, ulcer formation in 7 patients, and rest pain in the remaining 5 patients. All patients received percutaneous balloon angioplasty, with limb salvage in 21 patients (87.5%). Revascularization was achieved in 87.5% of the destination arteries at the primary intervention and overall technical success rate including reinterventions reached 95.8%. Following the procedures, a total of 22 patients had clinical response with at least ≥1 Rutherford category and mean Rutherford category significantly improved from 5.2 ± 0.74 to 1.6 ± 0.7 (P
ISSN:1557-2501
1557-2501
DOI:10.25270/jic/20.00058