Yn. Hsiang et al., COMPARISON OF PERCUTANEOUS WITH INTRAOPERATIVE BALLOON ANGIOPLASTY FOR ARTERIOSCLEROTIC OCCLUSIVE DISEASE, Australian and New Zealand journal of surgery, 63(11), 1993, pp. 864-869
The purpose of this study was to compare the technical success and sho
rt-term outcome of intraoperative balloon angioplasty (IBA) with percu
taneous transluminal angioplasty (PTA) in the iliac and femoropoplitea
l segment. From January 1988 to February 1991, 99 consecutive patients
underwent 114 angioplasties in the iliac (37 PTA, 26 IBA) and femorop
opliteal segment (15 PTA, 36 IBA). Mean age and sex distributions were
similar between the groups. Claudication was the primary indication f
or both groups. All patients who underwent IBA had another concomitant
surgical procedure performed. Immediate technical success for PTA and
IBA were 50/52 (96%) and 58/62 (94%), respectively. Cumulative patenc
y up to 12 months following angioplasty of the iliac artery was 94% fo
r PTA and 78% for IBA (P-value NS). For the femoropopliteal segment, 1
2 month patency results were 100% for PTA and 78% for IBA (P-value NS)
. Complications requiring surgical intervention occurred in 3 (6%) PTA
and 5 (8%) IBA cases. Results from this study indicate that technical
success and early patency are similar for PTA and IBA in the iliac an
d femoropopliteal segments. However angioplasty-related complications
were not avoided by performing balloon angioplasty in the operating ro
om.