[Application and value of excimer laser ablation in the treatment of lower limb atherosclerotic obliterans].
In: Zhonghua yi xue za zhi, Jg. 101 (2021-04-13), Heft 14, S. 1026-1030
Online
academicJournal
Zugriff:
Objective: To evaluate the results of excimer laser ablation (ELA) in the treatment of lower limb atherosclerotic obliterans (ASO). Methods: From June 2019 to March 2020, patients who underwent ELA combined with drug-coated balloon (DCB) for lower limb atherosclerotic obliterans (ASO) were enrolled. Demographics, lesion characteristics, procedure-related outcomes and complications were collected and analyzed. Results: Thirty patients were enrolled, including 21 males and 9 females. The mean age was (76.5±10.5) years. The mean lesion length was (11.7±6.4) cm. A total of 41 lesions, including in-stent restenosis (ISR) in 12 (29.3%), chronic totally occlusion (CTO) at initial treatment in 24 (58.5%), and severe stenosis in 5 (12.2%) patients. Sixteen (51.6%) patients were classified as Peripheral Arterial Calcium Scoring System (PACSS) category 4. The technical success rate was 93.5%. Incidence of distal embolization and bailout stenting was 12.9% and 6.5%, respectively. The mean follow-up time was (6.6±3.0) months. Ankle-brachial index (ABI) was significantly increased from 0.43(0.32,0.55) preoperatively to 0.91(0.87,1.01) postoperatively ( Z =-5.43, P <0.01) and 0.82(0.73,1.02) ( Z =-3.99, P <0.01) three months after surgery. The 3-month major-amputation free survival rate was 96.7%, primary patency rate was 100%, the target lesion reintervention (TLR) rate was 0 and ulcer healing rate was 76.9%. Conclusion: Debulking of ELA is feasible and effective for both ISR and CTO at initial treatment, providing a new option for DCB preparation and reducing stent implantation.
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[Application and value of excimer laser ablation in the treatment of lower limb atherosclerotic obliterans].
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Autor/in / Beteiligte Person: | Jiang, XL ; Ju, S ; Chen, B ; Jiang, JH ; Shi, Y ; Ma, T ; Lin, CP ; Guo, DQ ; Xu, X ; Dong, ZH ; Fu, WG |
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Zeitschrift: | Zhonghua yi xue za zhi, Jg. 101 (2021-04-13), Heft 14, S. 1026-1030 |
Veröffentlichung: | Beijing : Zhonghua yi xue hui ; <i>Original Publication</i>: Beijing : Zhonghua yi xue hui., 2021 |
Medientyp: | academicJournal |
ISSN: | 0376-2491 (print) |
DOI: | 10.3760/cma.j.cn112137-20200916-02654 |
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