Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA)

Jan Holm, Berndt Arfvidsson, Lennart Jivegard, Fredrik Lundgren, Kent Lundholm, Tore Scherstén, Bjorn Stenberg, Ulf Tylen, Bo Fredrik Zachrisson, Håkan Lindberg, Erney Mattsson, Bengt Persson, Leif Spangen, Egon Jonsson

Research output: Contribution to journalArticle

107 Scopus citations

Abstract

In a prospective randomised study, performed over a 6-year period, 102 patients with severe lower limb ischaemia or claudication resistant to exercise training were randomised either to percutaneous transluminal angioplasty (PTA) or vascular surgery. Only patients who could be treated by both methods were included, constituting only 5% of the total number of patients treated during this period. The two groups were similar regarding age, severity of symptoms and diabetes. The immediate and 1-year results showed similar success and complication rates. There was, however, a significantly shorter hospital stay for patients treated with PTA. Due to early complications and initial failures PTA should, however, only be used in institutions where vascular surgical facilities are available since PTA demands access to such treatment.

Original languageEnglish (US)
Pages (from-to)517-522
Number of pages6
JournalEuropean Journal of Vascular Surgery
Volume5
Issue number5
DOIs
StatePublished - 1991
Externally publishedYes

Keywords

  • Percutaneous transluminal angioplasty (PTA)
  • Prospective randomised study
  • Vascular reconstruction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Holm, J., Arfvidsson, B., Jivegard, L., Lundgren, F., Lundholm, K., Scherstén, T., Stenberg, B., Tylen, U., Fredrik Zachrisson, B., Lindberg, H., Mattsson, E., Persson, B., Spangen, L., & Jonsson, E. (1991). Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA). European Journal of Vascular Surgery, 5(5), 517-522. https://doi.org/10.1016/S0950-821X(05)80338-X