Advertisement

CardioVascular and Interventional Radiology

, Volume 20, Issue 6, pp 420–425 | Cite as

Balloon Angioplasty Combined with Primary Stenting Versus Balloon Angioplasty Alone in Femoropopliteal Obstructions: A Comparative Randomized Study

  • Dammis  Vroegindeweij
  • Louwerens D.  Vos
  • Alexander V.  Tielbeek
  • Jacob  Buth
  • Harrie C.M. v.d.  Bosch
Article

Abstract

Purpose: To evaluate whether balloon angioplasty combined with stenting (ST) of symptomatic femoropopliteal disease would provide better results compared with balloon angioplasty alone (BA).

Methods: Fifty-one patients were randomized between ST (24 patients) and BA (27 patients). Follow-up comprised clinical and hemodynamic assessment and color-flow duplex ultrasound examinations.

Results: Residual stenosis (≥ 30% diameter reduction) occurred in three BA patients, but not in the ST patients. By life-table analysis the cumulative rate of clinical and hemodynamic success after 1 year with ST was 74% (SE 9%) and for those with BA 85% (SE 7%) (p= 0.25). The primary patency at 1 year assessed by color-flow duplex ultrasound was 62% (SE 9%) for ST-treated patients and 74% (SE 8%) for BA patients (p= 0.22). Occlusion occurred in five ST patients (21%) compared with two BA patients (7%).

Conclusion: ST does not improve clinical and hemodynamic outcome compared with BA. Moreover, the occlusion rate in ST-treated patients is higher.

Key words: Femoral artery—Stenosis or obstruction—Restenosis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag New York Inc. 1997

Authors and Affiliations

  • Dammis  Vroegindeweij
    • 1
  • Louwerens D.  Vos
    • 1
  • Alexander V.  Tielbeek
    • 1
  • Jacob  Buth
    • 2
  • Harrie C.M. v.d.  Bosch
    • 1
  1. 1.Department of Radiology, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The NetherlandsNL
  2. 2.Department of Vascular Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The NetherlandsNL

Personalised recommendations