1997-08-20
Effect of balloon angioplasty in femoropopliteal arteries assessed by intravascular ultrasound
Publication
Publication
European Journal of Vascular and Endovascular Surgery , Volume 13 - Issue 6 p. 549- 556
Objective: To study the effects of balloon angioplasty (PTA) of the femoropopliteal artery with intravascular ultrasound (IVUS). Materials and methods: Corresponding IVUS cross-sections (n = 1033) obtained before and after PTA from 115 procedures were analysed. Vascular damage including plaque rupture, dissection and media rupture was assessed. Free lumen area (FLA), media-bounded area (MBA) and plaque area (PLA) were measured. Results: After PTA vascular damage was seen at the target site in 83 (72%) arteries: plaque rupture in 30 (26%), dissection in 66 (57%) and media rupture in 20 (17%) arteries. The FLA increased from 5.4 ± 3.4 mm2 to 14.1 ± 5.0 mm2 (p < 0.001), MBA increased from 26.9 ± 10.0 mm2 to 32.9 ± 10.7 mm2 (p < 0.001) and PLA decreased from 21.6 ± 8.5 mm2 to 18.8 ± 8.0 mm2 (p < 0.001). The increase in MBA accounted for 68% of lumen gain. The frequency of vascular damage and the relative contribution of MBA increase and PLA decrease to luminal gain were not different in procedures with balloon diameter ≤ 5 mm and ≤ 6 mm. Conclusions: Vascular damage is common following PTA. Lumen gain is mainly due to vessel expansion and, to a lesser extent, to a decrease in plaque area.
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| doi.org/10.1016/S1078-5884(97)80063-9, hdl.handle.net/1765/73760 | |
| European Journal of Vascular and Endovascular Surgery | |
| Organisation | Department of Cardiology |
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van der Lugt, A., Gussenhoven, E., Mali, W., Reekers, J., Seelen, J., Tielbeek, A., & Pieterman, H. (1997). Effect of balloon angioplasty in femoropopliteal arteries assessed by intravascular ultrasound. European Journal of Vascular and Endovascular Surgery, 13(6), 549–556. doi:10.1016/S1078-5884(97)80063-9 |
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