Intravascular ultrasound predictors of restenosis after balloon angioplasty of the femoropopliteal artery

被引:14
作者
van der Lugt, A [1 ]
Gussenhoven, EJ [1 ]
Pasterkamp, G [1 ]
Stijnen, T [1 ]
Reekers, JA [1 ]
van den Berg, FG [1 ]
Tielbeek, AV [1 ]
Seelen, JL [1 ]
Pieterman, H [1 ]
机构
[1] Erasmus Univ, Univ Hosp Rotterdam Dijkzigt, NL-3015 GE Rotterdam, Netherlands
关键词
intravascular ultrasound; balloon angioplasty; femoral artery; restenosis;
D O I
10.1016/S1078-5884(98)80151-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: To determine intravascular ultrasound parameters related to restenosis following percutaneous transluminal balloon angioplasty (PTA) of the femoropopliteal artery. Design: Prospective study. Materials and methods: Patients were studied with intravascular ultrasound before and after angiographic successful PTA (n=114). Intravascular ultrasound cross-sections obtained with 1 cm interval in the dilated segment were analysed. A distinction was made between anatomic (duplex scanning) and clinical (Rutherford criteria) restenosis assessed within 1 month and at 6 months after PTA. Results: Intravascular ultrasound predictors of 1 month anatomic outcome were lumen area stenosis after PTA, lumen area increase, plaque area decrease, and area stenosis decrease; predictor of 6 months anatomic outcome was area stenosis after PTA. Multivariate analysis revealed that area stenosis after PTA was the only independent predictor of both 1 and 6 months anatomic outcome. Intravascular ultrasound predictors of 1 month clinical outcome were the presence of hard lesion and the mean arc of hard lesion. Multivariate analysis revealed that the mean are of hard lesion was the only independent predictor of 1 month clinical outcome. No predictors for 6 months clinical outcome were found. Conclusions: Intravascular ultrasound can elucidate parameters predictive of restonosis after PTA. The strongest intravascular ultrasound parameter predictive of anatomic restenosis was a larger area stenosis after PTA.
引用
收藏
页码:110 / 119
页数:10
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