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- W2007198246 abstract "Abstract Background Percutaneous transluminal angioplasty has firmly established itself as a useful adjunct to surgery in the management of patients with peripheral vascular disease. A large series has been reviewed to assess the impact of the increase in the number of procedures performed as well as the improvements in technique on the complication rate of the procedure. Methods The complications of all percutaneous transluminal angioplasty procedures carried out between 2 October 1995 and 29 September 1998 were recorded and analysed prospectively. Results There were 1379 procedures carried out on 988 patients. There were 551 men (55·8 per cent) and 437 women (44·2 per cent), with a mean age of 62·5 years. A total of 1756 vessel segments were dilated. The indications for angioplasty included claudication (620 patients, 62·8 per cent), critical ischaemia (270, 27·3 per cent) and bypass graft complications (98, 9·9 per cent). The major complications were retroperitoneal bleed (0·2 per cent), false aneurysm (0·2 per cent), myocardial infarction (0·4 per cent), acute limb ischaemia (1·5 per cent), pulmonary embolism (0·1 per cent), renal failure (0·4 per cent), stroke and transient ischaemic attack (0·4 per cent) and respiratory failure (1·0 per cent). Minor complications were haematoma in 0·9 per cent, perforation in 1·7 per cent, wound infection in 1·0 per cent and catheter complications in 0·6 per cent. The overall rate of significant complications was 4·2 per cent and that of minor complications was 4·2 per cent. The overall incidence of complications needing surgical intervention was 2·2 per cent. The overall amputation rate due to complications was 0·6 per cent. Conclusion The sharp rise in the number of angioplasties in recent years has not been accompanied by a similar rise in the number of complications, despite broadening of the referral spectrum." @default.
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- W2007198246 date "2000-04-01" @default.
- W2007198246 modified "2023-10-14" @default.
- W2007198246 title "Complications of percutaneous transluminal angioplasty in the legs: analysis of 1379 procedures" @default.
- W2007198246 doi "https://doi.org/10.1046/j.1365-2168.2000.01420-51.x" @default.
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