Sprayregen S, Sniderman K W, Sos T A, Vieux U, Singer A, Veith F J
AJR Am J Roentgenol. 1980 Nov;135(5):945-50. doi: 10.2214/ajr.135.5.945.
Percutaneous transluminal angioplasty of the branches of the popliteal artery was performed in six patients, two of whom also had femoropopliteal angioplasty. Dilatation was performed with catheters ranging from 5.5 to 7 French. None of the popliteal branch dilatations was performed with an inflated balloon. Excellent dilatation, as documented by angiography and Doppler ultrasound pressure recordings, was obtained in four cases and moderate and slight improvement in one case each. Two of the four patients with excellent results had prompt healing of toe amputations and are doing well at 19 and 22 months after angioplasty. In the other two patients with excellent results, below-knee amputation was necessary despite patency of the dilated segment in one. In the other patient with initially excellent results, reocclusion occurred 4 months after angioplasty. In the patients who had moderate and slight improvement on angiography and in distal pressures, no significant clinical course change occurred. No patient had clinical deterioration after angioplasty and no significant complications occurred.
对6例患者进行了腘动脉分支的经皮腔内血管成形术，其中2例还进行了股腘动脉血管成形术。使用5.5至7法式的导管进行扩张。腘动脉分支扩张均未使用充盈的球囊。血管造影和多普勒超声压力记录显示，4例获得了极佳的扩张效果，1例获得中度改善，1例获得轻度改善。4例效果极佳的患者中，2例趾截肢迅速愈合，血管成形术后19个月和22个月情况良好。另外2例效果极佳的患者中，1例尽管扩张段通畅仍需进行膝下截肢。另1例最初效果极佳的患者，血管成形术后4个月发生再闭塞。血管造影和远端压力有中度和轻度改善的患者，临床病程无明显变化。血管成形术后无患者出现临床恶化，也未发生严重并发症。
