Mj. Hallisey et al., PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY OF THE ABDOMINAL-AORTA, Journal of vascular and interventional radiology, 5(5), 1994, pp. 679-687
PURPOSE: To determine the long-term results of percutaneous translumin
al angioplasty (PTA) of focal infrarenal abdominal aortic stenoses. PA
TIENTS AND METHODS: Over a 10-year period, 15 focal infrarenal abdomin
al aortic stenoses were treated with PTA in 14 patients (13 women and
one man; mean age, 53.2 years; range, 43-78 years). RESULTS: The initi
al technical success rate was 100%. Clinical patency, as defined by co
ntinued absence or improvement in symptoms after PTA, was achieved in
14 of the 15 angioplasty procedures (93%) with a mean duration of clin
ical follow-up of 4.3 years (range, 0.6-9.8 years) in the 14 patients.
Long-term noninvasive follow-up demonstrated continued patency of the
angioplasty site in 11 of 11 patients available for study. The mean a
nkle-arm index in these 11 patients was 0.95 (range, 0.9-1.0) at a mea
n follow-up of 4.8 years (range, 0.6-9.8 years). There was no signific
ant morbidity or mortality associated with the angioplasty procedures.
CONCLUSION: In view of the high degree of technical success and the e
xcellent long-term patency, we believe that PTA should be considered a
primary method of treatment in properly selected patients with focal
abdominal aortic stenoses.