Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2020 , Vol 29 , Issue 3
Endovascular intervention in elderly patients with peripheral arterial disease
Hakkı Zafer İşcan, Görkem Yiğit1, Mehmet Cahit Sarıcaoğlu2, Ferit Kasımzade1, Bahadır Aytekin1, Anıl Özen1
1Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey
2Department of Cardiovascular Surgery, Ankara University, Faculty of Medicine, Ankara, Turkey
DOI : 10.9739/tjvs.2020.711 Objectives: In this study, we present our early and mid-term experiences following treatment of femoropopliteal lesions via percutaneous transluminal angioplasty (PTA) in patients over 70 years of age.

Patients and methods: This single-center, retrospective study included a total of 41 PTA procedures in 35 patients (23 males, 12 females; median age 74 years; range 70 to 87 years) due to femoropopliteal lesions between August 2015 and April 2018. The technical success rate was evaluated. The Kaplan-Meier analysis was used to evaluate the primary patency rate at 12 and 24 months.

Results: The mean follow-up was 14.9±8.9 months. The technical success rate was 95.1%. The bailout stenting was required in 12 patients (29.3%). Only four patients (9.8%) required percutaneous reintervention at the end of the follow-up. The Kaplan-Meier analysis revealed primary patency rates as 82.9% and 57.2% at 12 and 24 months, respectively.

Conclusion: Our study results support the idea that PTA in elderly patients with femoropopliteal lesions is a safe and effective option and can be applied with favorable results in the early and mid-term. In addition, endovascular procedures can be performed by cardiovascular surgeons with high success and low complication rates. Keywords : Elderly, endovascular treatment, peripheral arterial disease

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