COMPARISON OF PERCUTANEOUS WITH INTRAOPERATIVE BALLOON ANGIOPLASTY FOR ARTERIOSCLEROTIC OCCLUSIVE DISEASE

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.