Percutaneous transluminal angioplasty of the abdominal aorta

J Vasc Interv Radiol. Sep-Oct 1994;5(5):679-87. doi: 10.1016/s1051-0443(94)71582-7.

Abstract

Purpose: To determine the long-term results of percutaneous transluminal angioplasty (PTA) of focal infrarenal abdominal aortic stenoses.

Patients and methods: Over a 10-year period, 15 focal infrarenal abdominal aortic stenoses were treated with PTA in 14 patients (13 women and one man; mean age, 53.2 years; range, 43-78 years).

Results: The initial technical success rate was 100%. Clinical patency, as defined by continued absence or improvement in symptoms after PTA, was achieved in 14 of the 15 angioplasty procedures (93%) with a mean duration of clinical follow-up of 4.3 years (range, 0.6-9.8 years) in the 14 patients. Long-term noninvasive follow-up demonstrated continued patency of the angioplasty site in 11 of 11 patients available for study. The mean ankle-arm index in these 11 patients was 0.95 (range, 0.9-1.0) at a mean follow-up of 4.8 years (range, 0.6-9.8 years). There was no significant morbidity or mortality associated with the angioplasty procedures.

Conclusion: In view of the high degree of technical success and the excellent long-term patency, we believe that PTA should be considered a primary method of treatment in properly selected patients with focal abdominal aortic stenoses.

MeSH terms

  • Angioplasty, Balloon*
  • Aorta, Abdominal / diagnostic imaging
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / epidemiology
  • Aortic Valve Stenosis / therapy*
  • Arteriosclerosis / diagnostic imaging
  • Arteriosclerosis / epidemiology
  • Arteriosclerosis / therapy*
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / epidemiology
  • Constriction, Pathologic / therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Vascular Patency