Korean J Vasc Endovasc Surg.  2011 Nov;27(4):156-161. 10.5758/kjves.2011.27.4.156.

Initial Experiences of Endovascular Surgery for Lower Extremity Arterial Occlusive Diseases in the Operation Room

• Kim SM
• Chung JK
• Jung IM

• KMID: 1448058
• DOI: http://doi.org/10.5758/kjves.2011.27.4.156

Abstract

PURPOSE
Endovascular surgery (EVS) has been rapidly increasing within the last two decades, changing the pattern of treatments for arterial disease. The purpose of this study was to report our initial experiences of EVS for lower extremity arterial occlusive diseases in the operation room performed solely by a vascular surgeon.
METHODS
Between January 2009 and June 2010, 13 EVS were performed for lower extremity arterial occlusive diseases with a mobile C-arm. Three patients underwent simultaneous bypass surgery with balloon angioplasty. Clinical characteristics, treatments, and outcomes were retrospectively reviewed.
RESULTS
Primary patency rates at 1 and 12 months following balloon angioplasty were 92.3% (12/13) and 88.9% (8/9), respectively. Only one patient had a thrombotic occlusion, resulting in an above-knee amputation. No procedure-related deaths occurred.
CONCLUSION
We showed an initial acceptable result of EVS for lower extremity arterial occlusive diseases in the operation room. However, the data analyzed was of a small group with a short term follow-up period. More experiences, judicious planning, and efforts to optimize endovascular techniques to resolve complications are needed to be a true vascular and endovascular surgeon.

Keyword

Endovascular surgery; Vascular surgeon; Balloon angioplasty; Lower extremity; Arterial occlusive diseases

MeSH Terms

Amputation
Angioplasty, Balloon
Arterial Occlusive Diseases
Endovascular Procedures
Follow-Up Studies
Humans
Lower Extremity
Retrospective Studies