Levade M, Joffre F, Railhac J J, Portalez D, Putois J
J Radiol. 1982 Aug-Sep;63(8-9):495-501.
Angioplasty of the femoral and popliteal arteries was attempted in 58 cases over a period of 2 years. Ideal cases for treatment by percutaneous transluminal angioplasty (PTA) are those with stenoses less than 3 cm or obliterations less than 6 cm in length where the onset was between 6 months and 2 years previously. Immediate success was obtained in 50 cases (86 patients), failures usually being observed in very advanced cases. Permeability after 2 years, by actuarial calculation, was observed in 85 p. cent of cases and there were 7 complications (12 p. cent) in the 58 patients, one of whom required urgent surgery. This method represents an alternative procedure to conventional surgical shunts in young subjects, those at high surgical risk, and those with lesions in two zones. These results illustrate the value of early diagnosis, by arteriography of the lower limbs, to detect recent lesions responding best to PTA and thus to gain time in the long and painful history of this disease.
在两年时间里，对58例患者尝试进行股动脉和腘动脉血管成形术。经皮腔内血管成形术（PTA）治疗的理想病例是狭窄长度小于3厘米或闭塞长度小于6厘米、发病时间在6个月至2年前的患者。50例（86名患者）立即获得成功，失败通常见于病情非常严重的病例。通过精算计算，两年后的通畅率在85%的病例中观察到，58名患者中有7例并发症（12%），其中1例需要紧急手术。对于年轻患者、手术风险高的患者以及病变位于两个区域的患者，这种方法是传统外科分流术的替代方法。这些结果说明了通过下肢动脉造影进行早期诊断的价值，以检测对PTA反应最佳的近期病变，从而在这种疾病漫长而痛苦的病程中争取时间。
