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 2007 , Vol 16 , Issue 3
STAGED PTA AND SURGICAL VASCULAR INTERVENTIONS FOR MULTILEVEL PERIPHERIC ARTERIAL DISEASE
Kerem YAY1, Ahmet Kuddusi İRDEM1, Ufuk TÜTÜN1, Mehmet YURDAKUL2, A.İhsan PARLAR1, A. Tulga ULUS1, S. Fehmi KATIRCIOĞLU1, Murat BAYAZIT1
1Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara
2Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara
Background: We aimed to evaluate results of using tandem PTA and surgical vascular interventions for multilevel occlusive peripheral arterial diseases.

Materials and Methods: Retrospectively 22 patients who had combined PTA and surgical revascularization treatment between 2000 and 2006 were included to the study. Twenty-two patients with 28 extremities had inflow lesions which can affect the surgical level. PTA and surgical interventions had been applied all the 28 extremities. Average age of patients was 60.8±12.1 (44-89 years) year. Except one patient, all of them were male. Symptoms of patients were resting pain in 31.8%, cladication in 45.5%, leg ulcers in 22.7%. 14 patients (63.6%) were cigarettes smokers, 9 patients (40.9%) had hypertension, 5 patients (22.7%) had DM, 3 patients (13.6%) had coronary artery diseases, 9 patients (40.9%) had hyperlipidemia. Besides PTA, stent had been applied to 12 patients. Early and mid term of all the patients were evaluated.

Results: After PTA, 13 patients in a same month and 9 patients averagely 17.1±12.5 months later had surgical vascular interventions. Surgical procedures were 17 femoro-popliteal bypass, 3 aorta-bifemoral bypass, 2 aorta-biiliac bypass. After primary surgery, 3 patients had re-operation as 2 embolectomy and 1 re-femoro-popliteal bypass. There was no mortality and also no salvage of extremity. Three patients still had cladication symptoms but their grafts were patent.

Conclusions: Tandem PTA and surgical revascularization is effective and safe combination for the selected patients. This combination may limit the surgical level or extension and may decrease the mortality and morbidity. (Turkish J Vasc Sur 2007;16(3):25-30). Keywords : Peripheral arterial occlusive disease, PTA, Surgical revascularization

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