Endovascular recanalization of infra-popliteal TASC C and TASC D lesions in patients with critical limb-threatening ischemia: a single-center experience.

IF 1.4 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Diagnostic and interventional radiology Pub Date : 2024-01-31 DOI:10.4274/dir.2024.232524

Mehmet Koray Akkan, Ali Can Yalçın, Zeydanlı Tolga, Fatih Öncü, Erhan Turgut Ilgıt, Ahmet Baran Önal, Mustafa Hakan Zor, Abdullah Özer

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引用次数: 0

Abstract

Purpose: The present study aims to (1) assess the technical success and limb salvage rates of endovascular therapy in patients with critical limb-threatening ischemia (CLTI) and infra-popliteal Trans-Atlantic Inter-Society Consensus (TASC) C/D lesions according to the updated 2015 TASC II classification and (2) to present our institutional experience.

Methods: A single-center retrospective study was conducted on patients with TASC C/D CLTI who underwent endovascular treatment between 2012 and 2017. The follow-up protocol consisted of Doppler ultrasound conduction every 3 months for the first year unless patients showed symptoms of CLTI. Patients with at least 1 year of follow-up data were included in the study, and if applicable their 3-year results were evaluated in terms of primary patency, absence of amputation, amputation-free survival, and overall survival.

Results: A total of 248 patients and 287 limbs (238 TASC D lesions and 49 TASC C lesions) were treated via infra-popliteal percutaneous transluminal angioplasty. The overall technical success was 87%, the primary patency rate was 41.5% in the first year, and the freedom from amputation rates were 80.8% in 1 year and 67.7% in 3 years.

Conclusion: In patients with infra-popliteal arterial occlusive diseases, endovascular treatment methods demonstrate a high rate of technical success and favorable outcomes in limb preservation.

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危重肢体缺血患者腘下 TASC C 和 TASC D 病变的血管内再通术：单中心经验。

目的：本研究旨在（1）根据 2015 年更新的 TASC II 分类，评估危重肢体缺血（CLTI）和腘窝下跨大西洋学会共识（TASC）C/D 病变患者接受血管内治疗的技术成功率和肢体挽救率；（2）介绍我们的机构经验：对2012年至2017年间接受血管内治疗的TASC C/D CLTI患者进行了单中心回顾性研究。随访方案包括在第一年内每 3 个月进行一次多普勒超声导引，除非患者出现 CLTI 症状。研究纳入了至少有1年随访数据的患者，并在适用的情况下，从初次通畅率、无截肢、无截肢生存率和总生存率方面评估了他们的3年结果：共有 248 名患者和 287 条肢体（238 例 TASC D 级病变和 49 例 TASC C 级病变）接受了腘窝下经皮腔内血管成形术治疗。总体技术成功率为87%，第一年的主要通畅率为41.5%，1年内免于截肢率为80.8%，3年内免于截肢率为67.7%：结论：对于腘下动脉闭塞症患者，血管内治疗方法的技术成功率很高，而且在保留肢体方面效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnostic and interventional radiology Medicine-Radiology, Nuclear Medicine and Imaging

自引率

4.80%

发文量

期刊介绍： Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.