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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 2002 Jan;84(1):39–42.

Complications following peripheral angioplasty.

B Axisa 1, G Fishwick 1, A Bolia 1, M M Thompson 1, N J M London 1, P R F Bell 1, A R Naylor 1
PMCID: PMC2503753  PMID: 11892730

Abstract

BACKGROUND: Peripheral angioplasty is increasingly the first choice intervention in patients with peripheral vascular disease. The aim of the current study was to audit prospectively all major complications, especially the requirement for emergency surgical intervention. PATIENTS AND METHODS: A prospective audit of outcome after peripheral angioplasty in 988 patients undergoing 1377 interventional procedures between 1 October 1995 and 30 September 1998 at which 1619 vessel segments were angioplastied. RESULTS: Major medical morbidity (bronchopneumonia, stroke, renal failure, myocardial infarction) complicated 33/1377 procedures (2.4%). Emergency surgical intervention was required after 31/1377 procedures (2.3%) with the commonest aetiologies being acute limb ischaemia and haemorrhagic complications. The amputation rate following angioplasty was 0.6% and no patient presenting with claudication or graft complications underwent amputation. The amputation rate following angioplasty for critical limb ischaemia was 2.2%. Overall, the risk of death and/or major medical complication and/or requiring emergency surgical intervention was 3.5%. The rate of complications was no different for subintimal as opposed to transluminal angioplasties. CONCLUSIONS: Peripheral angioplasty is associated with a low risk of major medical and surgical complications.

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Selected References

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  1. Currie I. C., Wakeley C. J., Cole S. E., Wyatt M. G., Scott D. J., Baird R. N., Horrocks M. Femoropopliteal angioplasty for severe limb ischaemia. Br J Surg. 1994 Feb;81(2):191–193. doi: 10.1002/bjs.1800810209. [DOI] [PubMed] [Google Scholar]
  2. London N. J., Sensier Y., Hartshorne T. Can lower limb ultrasonography replace arteriography? Vasc Med. 1996;1(2):115–119. doi: 10.1177/1358863X9600100205. [DOI] [PubMed] [Google Scholar]
  3. London N. J., Srinivasan R., Naylor A. R., Hartshorne T., Ratliff D. A., Bell P. R., Bolia A. Subintimal angioplasty of femoropopliteal artery occlusions: the long-term results. Eur J Vasc Surg. 1994 Mar;8(2):148–155. doi: 10.1016/s0950-821x(05)80450-5. [DOI] [PubMed] [Google Scholar]
  4. London N. J., Varty K., Sayers R. D., Thompson M. M., Bell P. R., Bolia A. Percutaneous transluminal angioplasty for lower-limb critical ischaemia. Br J Surg. 1995 Sep;82(9):1232–1235. doi: 10.1002/bjs.1800820925. [DOI] [PubMed] [Google Scholar]
  5. Löfberg A. M., Lörelius L. E., Karacagil S., Westman B., Almgren B., Berqgvist D. The use of below-knee percutaneous transluminal angioplasty in arterial occlusive disease causing chronic critical limb ischemia. Cardiovasc Intervent Radiol. 1996 Sep-Oct;19(5):317–322. doi: 10.1007/BF02570182. [DOI] [PubMed] [Google Scholar]
  6. Matsi P. J., Manninen H. I. Complications of lower-limb percutaneous transluminal angioplasty: a prospective analysis of 410 procedures on 295 consecutive patients. Cardiovasc Intervent Radiol. 1998 Sep-Oct;21(5):361–366. doi: 10.1007/s002709900281. [DOI] [PubMed] [Google Scholar]
  7. Nawaz S., Cleveland T., Gaines P., Beard J., Chan P. Aortoiliac stenting, determinants of clinical outcome. Eur J Vasc Endovasc Surg. 1999 Apr;17(4):351–359. doi: 10.1053/ejvs.1998.0784. [DOI] [PubMed] [Google Scholar]
  8. Pell J. P., Whyman M. R., Fowkes F. G., Gillespie I., Ruckley C. V. Trends in vascular surgery since the introduction of percutaneous transluminal angioplasty. Br J Surg. 1994 Jun;81(6):832–835. doi: 10.1002/bjs.1800810613. [DOI] [PubMed] [Google Scholar]
  9. Spence L. D., Hartnell G. G., Reinking G., Gibbons G., Pomposelli F., Clouse M. E. Diabetic versus nondiabetic limb-threatening ischemia: outcome of percutaneous iliac intervention. AJR Am J Roentgenol. 1999 May;172(5):1335–1341. doi: 10.2214/ajr.172.5.10227512. [DOI] [PubMed] [Google Scholar]
  10. Varty K., Bolia A., Naylor A. R., Bell P. R., London N. J. Infrapopliteal percutaneous transluminal angioplasty: a safe and successful procedure. Eur J Vasc Endovasc Surg. 1995 Apr;9(3):341–345. doi: 10.1016/s1078-5884(05)80141-8. [DOI] [PubMed] [Google Scholar]
  11. Varty K., Nydahl S., Nasim A., Bolia A., Bell P. R., London J. M. Results of surgery and angioplasty for the treatment of chronic severe lower limb ischaemia. Eur J Vasc Endovasc Surg. 1998 Aug;16(2):159–163. doi: 10.1016/s1078-5884(98)80159-7. [DOI] [PubMed] [Google Scholar]

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