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- W2385717663 abstract "Objective To discuss the application and clinical efficacy of anterograde puncture endovascular management in treating below-knee arteriosclerotic obliteration of lower extremities.Methods During the period from January 2009 to January 2012,a total of 59 patients with below-knee arteriosclerotic obliteration of lower extremities were admitted to authors' hospital to receive percutaneous transluminal angioplasty(PTA).The clinical data were retrospectively analyzed.All the patients were followed up for 3-24 months.The preoperative and postoperative Fontaine staging and ankle-brachial index(ABI) were determined,and the results were analyzed.Results The technical success rate of this series was 81.4%(48/59).Fontaine stage Ⅱ group was composed of 27 patients.The technical success rate in this group was 92.6%(25/27).The clinical symptoms were improved in 20 patients,with a remission rate of 80.0%(20/25).Fontaine stage Ⅲ group was composed of 18 patients.The technical success rate and the remission rate in this group were 83.3%(15/18) and 86.7%(13/15) respectively.Fontaine stage Ⅳ group had 14 patients,and the technical success rate and the remission rate in this group were 57.1%(8/14) and 50.0%(4/8) respectively.The technical success rate of Fontaine stage Ⅱ group was significantly higher than those of Fontaine stage Ⅲ group as well as of Fontaine stage Ⅳ group(P 0.03).The clinical remission rate of Fontaine stage Ⅱ group and Fontaine stage Ⅲ group was significantly higher than that of Fontaine stage Ⅳ group(P 0.05).After the treatment,the ankle-brachial index increased from preoperative(0.36 ± 0.15) to postoperative(0.79 ± 0.16),the difference was statistically significant(P 0.01).Follow-up rate for patients gaining technical success was 85.4%(41/48).Recurrence at 3,6,12 and 24 months after the treatment was seen in 2,3,6 and 4 cases respectively.During the follow-up period,amputation had to be carried out in 4 cases,with an amputation rate of 6.8%(4/59).The amputation level was above-knee(n = 1) or below-knee(n = 1),and metatarsal surgical amputation was performed in two cases.Conclusion For the treatment of below-knee arteriosclerotic obliteration of lower extremities,endovascular angioplasty is safe and effective.The clinical symptoms can be well improved with satisfactory short-term and mid-term effectiveness although long-term effectiveness needs to be further evaluated." @default.
- W2385717663 created "2016-06-24" @default.
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- W2385717663 date "2013-01-01" @default.
- W2385717663 modified "2023-09-23" @default.
- W2385717663 title "Anterograde puncture endovascular treatment for below-knee arteriosclerotic obliteration of lower extremities: a clinical evaluation" @default.
- W2385717663 hasPublicationYear "2013" @default.
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