Weibull H, Bergqvist D, Jonsson K, Karlsson S, Takolander R
J Vasc Surg. 1987 May;5(5):681-6.
During a 5-year period percutaneous transluminal angioplasty (PTA) was attempted in 134 iliac, femoral, and popliteal arteries in 127 patients. Complications were systematically registered and classified as major, minor, and radiologic. Seventeen major complications (12.7%), including three deaths, occurred, as well as five minor (3.7%) and 13 radiologic complications (9.7%). The last group showed no clinical symptoms. The frequency of complications in our series is high compared with that found in a survey of 13 studies with 2043 patients. The most marked discrepancy was our high frequency of septic symptoms. A mortality rate of 2.2% was also higher in our series, but we have consequently registered the 30-day mortality rate to make comparisons with surgical series relevant. Radiologic alterations are usually not reported in other series probably because they are regarded as a part of the method, but we consider these alterations as potentially dangerous and important to report because they can result in clinically relevant complications. Because of the complications PTA should only be performed in centers in which complications can be optimally treated.
在5年期间，对127例患者的134条髂动脉、股动脉和腘动脉尝试进行经皮腔内血管成形术（PTA）。对并发症进行了系统登记，并分为严重、轻微和放射学并发症。发生了17例严重并发症（12.7%），包括3例死亡，以及5例轻微并发症（3.7%）和13例放射学并发症（9.7%）。最后一组无临床症状。与对2043例患者的13项研究的调查结果相比，我们系列中的并发症发生率较高。最明显的差异是我们的感染症状发生率较高。我们系列中的死亡率为2.2%也较高，但因此我们记录了30天死亡率，以便与手术系列进行相关比较。放射学改变在其他系列中通常未被报告，可能是因为它们被视为该方法的一部分，但我们认为这些改变具有潜在危险性且报告很重要，因为它们可导致临床相关并发症。由于存在并发症，PTA仅应在能够对并发症进行最佳治疗的中心进行。
