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Cleveland Clinic Journal of Medicine

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III. Articles and Features of General Interest

Percutaneous transluminal angioplasty: review of iliac and femoral dilatations at the Cleveland Clinic

Robert A. Graor, M.D., Jess R. Young, M.D., Marian McCandless, R.N., Claudia Swift, R.N., James A.M. Smith, D.O., William F. Ruschaupt, M.D., Barbara Risius, M.D. and Margaret G. Zelch, M.D.
Cleveland Clinic Journal of Medicine March 1984, 51 (1) 149-154;
Robert A. Graor
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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Jess R. Young
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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Marian McCandless
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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Claudia Swift
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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James A.M. Smith
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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William F. Ruschaupt
Department of Peripheral Vascular Disease, The Cleveland Clinic Foundation
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Barbara Risius
Department of Diagnostic Radiology, The Cleveland Clinic Foundation
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Margaret G. Zelch
Department of Diagnostic Radiology, The Cleveland Clinic Foundation
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ABSTRACT

Thirty-five iliac and 25 femoropopliteal percutaneous transluminal angioplasties (PTA) were performed at the Cleveland Clinic between February 1979 and April 1983. Patients were considered for PTA if they had disabling claudication, ischemic rest pain, ischemic ulceration or gangrene, or an arterial stenosis or occlusion that met the necessary radiographic criteria. Overall, 87% of the PTAs were an early success, and 63% remained successful at an average follow-up of eight months. The success rate for iliac PTA was 89%, with a late success rate of 74% if both the femoral and profunda femoris arteries were patent. These success rates decreased to 50% early and 25% late if only one femoral artery was patent. The femoropopliteal PTA group had an incidence of 80% early success and 56% late success. If three tibial outflow vessels were patent, the late success rate was 75%. When one or two of the tibial vessels were patent, the late success rates were 45% and 63%, respectively. The follow-up period in both groups was 9 to 11 months. The success rate for PTA is generally lower than that for surgical revascularization in patients with similar clinical symptoms and arterial pathology. However, PTA poses several advantages over surgical revascularization and should be considered, especially in the poor-risk patient.

Index terms
  • Angioplasty
  • transluminal
  • Arterial occlusive diseases
  • Catheterization
  • Extremities
  • Received July 1983.
  • Accepted September 1983.
  • Copyright © 1984 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 51 (1)
Cleveland Clinic Journal of Medicine
Vol. 51, Issue 1
20 Mar 1984
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Percutaneous transluminal angioplasty: review of iliac and femoral dilatations at the Cleveland Clinic
Robert A. Graor, Jess R. Young, Marian McCandless, Claudia Swift, James A.M. Smith, William F. Ruschaupt, Barbara Risius, Margaret G. Zelch
Cleveland Clinic Journal of Medicine Mar 1984, 51 (1) 149-154;

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Percutaneous transluminal angioplasty: review of iliac and femoral dilatations at the Cleveland Clinic
Robert A. Graor, Jess R. Young, Marian McCandless, Claudia Swift, James A.M. Smith, William F. Ruschaupt, Barbara Risius, Margaret G. Zelch
Cleveland Clinic Journal of Medicine Mar 1984, 51 (1) 149-154;
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Keywords

  • Angioplasty
  • Transluminal
  • Arterial occlusive diseases
  • Catheterization
  • Extremities

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