Kocaeli Med J. 2019; 8(3): 142-147 | DOI: 10.5505/ktd.2019.92609

Endovascular treatment in lower extremity peripheral artery disease: A single center experience

Deniz Kaptan Ozen, Burak Turan
Department Of Cardiology, Derince Training And Research Hospital, Kocaeli, Turkey

INTRODUCTION: Endovascular treatment has become increasingly more important for symptomatic peripheral artery disease. In this study, we aimed to present the percutaneous procedure data of the last 8 years of our center retrospectively.
METHODS: Interventions of lower extremity arteries performed in our clinic between July 2011 and December 2018 were retrospectively reviewed. Demographic, laboratory, procedural data and in-hospital adverse events were obtained from patient records.
RESULTS: 541 peripheral artery procedures were searched on the records. A total of 420 vascular endovascular treatment containing iliac (n = 219), femoropliteal (n = 184) and tibial / peroneal (n = 17) arteries were included in the study. The overall procedural success rate was 96%, and the number and success of procedures increased markedly over the years. The success rate of iliac and femoropopliteal procedures was over 97%, whereas tibioperoneal artery interventions were 100%. In-hospital deaths were observed in 3 (0.8%), amputations in 2 (0.5%), major bleeding in 2 (0.5%), dialysis needs in 3 (0.8%) and cerebrovascular event in 1 (0.3%) patients. 85% of the patients were discharged in one day after the procedure.
DISCUSSION AND CONCLUSION: Endovascular treatment of lower extremity artery diseases is performed in our center with increasing number of procedures, success rate and reasonable complication rates.

Keywords: Peripheral artery disease, lower extremity, angioplasti

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Alt ekstremite periferik arter hastalýðýnda endovasküler tedavi: Tek merkez deneyimi

Deniz Kaptan Ozen, Burak Turan
Saðlýk Bilimleri Üniversitesi Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi, Kardiyoloji Kliniði, Kocaeli, Türkiye

GÝRÝÞ ve AMAÇ: Semptomatik alt ekstremite arter hastalýðýnda endovasküler tedavi giderek artan önemle tedavide yerini almýþtýr. Çalýþmamýzda merkezimizin son 8 yýlýna ait perkütan iþlem verilerinin retrospektif sunulmasý amaçlanmýþtýr.
YÖNTEM ve GEREÇLER: Temmuz 2011 ile Aralýk 2018 arasý kliniðimizde yapýlan alt ekstremite arterlerine yönelik giriþimler geriye dönük tarandý. Demografik, laboratuvar ve iþlem verileri hastane içi istenmeyen olaylar hasta kayýtlarýndan elde edilerek sunuldu.
BULGULAR: 541 periferik arter giriþimi tarandý. Toplamda 374 adet alt ekstremite arterine yönelik giriþimde iliak (n=219), femoropliteal (n=184) ve tibial/peroneal (n=17) arterleri içeren 420 damara endovasküler tedavi çalýþmaya dahil edildi. Genel iþlem baþarýsý %97.1 olup iþlem sayý ve baþarýsýnda yýllara göre belirgin artýþ izlendi. Ýliak ve femoropopliteal giriþimlerde iþlem baþarýsý %97’ nin üzerinde iken tibioperoneal arter giriþimlerinde %100 saptandý. Hastane içi istenmeyen ölüm 3 (%0.8), amputasyon 2 (%0.5), major kanama 2 (%0.5), diyaliz ihtiyacý 3 (%0.8) ve serebrovasküler olay (%0.3) saptandý. Hastalarýn %85’ i iþlem sonrasý bir gün içinde taburcu edildi.

TARTIÞMA ve SONUÇ: Alt ekstremite arter hastalýklarýnda endovasküler tedavi yýllar içinde giderek artan sayýlarda yapýlmaktadýr. Teknik geliþmeler ve artan tecrübe yüksek baþarý, makul komplikasyon oranlarý ve erken mobilizasyona imkan saðlamaktadýr.

Anahtar Kelimeler: Periferik arter hastalýðý, alt ekstremite, anjiyoplasti

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