Determinants of failure in superficial femoral artery angioplasty

H. El-Bayar, A. Roberts, R. Hye, G. Davis, J. Freischlag

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Although results of iliac artery balloon angioplasty have been shown to be good, there are much less data regarding initial success and durability of superficial femoral artery (SFA) dilation. The authors retrospectively reviewed the results of 22 patients treated for 27 SFA lesions between 1981 and 1986. Mean age was 64.5 years (fifty-five to seventy-six). Results were analyzed with respect to initial, early (<twelve months), and late (>twelve months) angiographic and clinical success. Indications were claudication (22), nonhealing ulcer (3), and rest pain (2). Mean follow-up was 30.9 months; 100% at one year and 92% at two years. Initial failure occurred in 9 (33%) lesions. There were 2 early and 2 late failures for a cumulative patency rate of 90.3% and 78% at one and two years, respectively. Predictors of clinical failure were: (1) initial-age, SFA occlusion, and angioplasty rating; (2) early-age, SFA occlusion, degree of atherosclerosis, and angioplasty rating; (3) late-angioplasty rating. There were 3 complications (11%). The authors conclude that: (1) 33% of attempted SFA angioplasties were initially unsuccessful and that the cumulative patency rate was 78% at two years. (2) Age is predictive of initial and early failure; SFA occlusion, of initial and early failure; degree of atherosclerosis, of early failure; and angioplasty appearance, of initial, early, and late failures. (3) Complications did not result in limb loss or require surgery.

Original languageEnglish (US)
Pages (from-to)539-547
Number of pages9
JournalVascular Surgery
Volume28
Issue number8
StatePublished - 1994
Externally publishedYes

Fingerprint

Femoral Artery
Angioplasty
Atherosclerosis
Balloon Angioplasty
Iliac Artery
Ulcer
Dilatation
Extremities
Pain

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

El-Bayar, H., Roberts, A., Hye, R., Davis, G., & Freischlag, J. (1994). Determinants of failure in superficial femoral artery angioplasty. Vascular Surgery, 28(8), 539-547.

Determinants of failure in superficial femoral artery angioplasty. / El-Bayar, H.; Roberts, A.; Hye, R.; Davis, G.; Freischlag, J.

In: Vascular Surgery, Vol. 28, No. 8, 1994, p. 539-547.

Research output: Contribution to journalArticle

El-Bayar, H, Roberts, A, Hye, R, Davis, G & Freischlag, J 1994, 'Determinants of failure in superficial femoral artery angioplasty', Vascular Surgery, vol. 28, no. 8, pp. 539-547.
El-Bayar H, Roberts A, Hye R, Davis G, Freischlag J. Determinants of failure in superficial femoral artery angioplasty. Vascular Surgery. 1994;28(8):539-547.
El-Bayar, H. ; Roberts, A. ; Hye, R. ; Davis, G. ; Freischlag, J. / Determinants of failure in superficial femoral artery angioplasty. In: Vascular Surgery. 1994 ; Vol. 28, No. 8. pp. 539-547.
@article{1defe55a15924366af70111879e47f18,
title = "Determinants of failure in superficial femoral artery angioplasty",
abstract = "Although results of iliac artery balloon angioplasty have been shown to be good, there are much less data regarding initial success and durability of superficial femoral artery (SFA) dilation. The authors retrospectively reviewed the results of 22 patients treated for 27 SFA lesions between 1981 and 1986. Mean age was 64.5 years (fifty-five to seventy-six). Results were analyzed with respect to initial, early (twelve months) angiographic and clinical success. Indications were claudication (22), nonhealing ulcer (3), and rest pain (2). Mean follow-up was 30.9 months; 100{\%} at one year and 92{\%} at two years. Initial failure occurred in 9 (33{\%}) lesions. There were 2 early and 2 late failures for a cumulative patency rate of 90.3{\%} and 78{\%} at one and two years, respectively. Predictors of clinical failure were: (1) initial-age, SFA occlusion, and angioplasty rating; (2) early-age, SFA occlusion, degree of atherosclerosis, and angioplasty rating; (3) late-angioplasty rating. There were 3 complications (11{\%}). The authors conclude that: (1) 33{\%} of attempted SFA angioplasties were initially unsuccessful and that the cumulative patency rate was 78{\%} at two years. (2) Age is predictive of initial and early failure; SFA occlusion, of initial and early failure; degree of atherosclerosis, of early failure; and angioplasty appearance, of initial, early, and late failures. (3) Complications did not result in limb loss or require surgery.",
author = "H. El-Bayar and A. Roberts and R. Hye and G. Davis and J. Freischlag",
year = "1994",
language = "English (US)",
volume = "28",
pages = "539--547",
journal = "Vascular and Endovascular Surgery",
issn = "1538-5744",
publisher = "SAGE Publications Inc.",
number = "8",

}

TY - JOUR

T1 - Determinants of failure in superficial femoral artery angioplasty

AU - El-Bayar, H.

AU - Roberts, A.

AU - Hye, R.

AU - Davis, G.

AU - Freischlag, J.

PY - 1994

Y1 - 1994

N2 - Although results of iliac artery balloon angioplasty have been shown to be good, there are much less data regarding initial success and durability of superficial femoral artery (SFA) dilation. The authors retrospectively reviewed the results of 22 patients treated for 27 SFA lesions between 1981 and 1986. Mean age was 64.5 years (fifty-five to seventy-six). Results were analyzed with respect to initial, early (twelve months) angiographic and clinical success. Indications were claudication (22), nonhealing ulcer (3), and rest pain (2). Mean follow-up was 30.9 months; 100% at one year and 92% at two years. Initial failure occurred in 9 (33%) lesions. There were 2 early and 2 late failures for a cumulative patency rate of 90.3% and 78% at one and two years, respectively. Predictors of clinical failure were: (1) initial-age, SFA occlusion, and angioplasty rating; (2) early-age, SFA occlusion, degree of atherosclerosis, and angioplasty rating; (3) late-angioplasty rating. There were 3 complications (11%). The authors conclude that: (1) 33% of attempted SFA angioplasties were initially unsuccessful and that the cumulative patency rate was 78% at two years. (2) Age is predictive of initial and early failure; SFA occlusion, of initial and early failure; degree of atherosclerosis, of early failure; and angioplasty appearance, of initial, early, and late failures. (3) Complications did not result in limb loss or require surgery.

AB - Although results of iliac artery balloon angioplasty have been shown to be good, there are much less data regarding initial success and durability of superficial femoral artery (SFA) dilation. The authors retrospectively reviewed the results of 22 patients treated for 27 SFA lesions between 1981 and 1986. Mean age was 64.5 years (fifty-five to seventy-six). Results were analyzed with respect to initial, early (twelve months) angiographic and clinical success. Indications were claudication (22), nonhealing ulcer (3), and rest pain (2). Mean follow-up was 30.9 months; 100% at one year and 92% at two years. Initial failure occurred in 9 (33%) lesions. There were 2 early and 2 late failures for a cumulative patency rate of 90.3% and 78% at one and two years, respectively. Predictors of clinical failure were: (1) initial-age, SFA occlusion, and angioplasty rating; (2) early-age, SFA occlusion, degree of atherosclerosis, and angioplasty rating; (3) late-angioplasty rating. There were 3 complications (11%). The authors conclude that: (1) 33% of attempted SFA angioplasties were initially unsuccessful and that the cumulative patency rate was 78% at two years. (2) Age is predictive of initial and early failure; SFA occlusion, of initial and early failure; degree of atherosclerosis, of early failure; and angioplasty appearance, of initial, early, and late failures. (3) Complications did not result in limb loss or require surgery.

UR - http://www.scopus.com/inward/record.url?scp=0028004373&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028004373&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0028004373

VL - 28

SP - 539

EP - 547

JO - Vascular and Endovascular Surgery

JF - Vascular and Endovascular Surgery

SN - 1538-5744

IS - 8

ER -