الفهرس | Only 14 pages are availabe for public view |
Abstract PTA(percutanous transluminal angioplasty) is the treatment of choice in patients with infrapopliteal occlusive disease who typically present with CLI(critical limb ischaemia). With recent advances in technology, long and multiple stenotic and occlusive lesions can be treated successfully. This minimally invasive procedure carries a lower morbidity and mortality and shorter hospital stay compared with surgery and should be the first treatment option in all patients with CLI who would otherwise be offered distal bypass surgery or amputation, as failure rarely precludes surgery. Clinical success is superior to angiographic patency and in the majority of cases repeat angioplasty can be performed if there is recurrence of ischaemic symptoms and signs.ABI(Ankle-Brachial Index)is a good indexand investigation. Infrapopliteal PTA can also be performed after femoral angioplasty or bypass surgery, to improve outflow and hence patency of the proximally treated segment. |