Initial TASC classification was highly predictive of first anatomic failure (P < .0001), but it did not predict the durability of subsequent catheter based reintervention (P = .32). Ten patients with stent failure required operation, and five underwent amputation; all had failed with occlusion. Overall limb salvage was 89% and pen-procedural mortality Selleck Verteporfin was 0.4%.
Conclusions: Following primary stenting of the superficial femoral artery (SFA) and popliteal artery,
lesions classified as TASC C or D are more likely to fail with occlusion, lose run-off vessels, and alter the site of subsequent open operation than their TASC A and B counterparts. Although these complications are infrequent, they may negatively impact later attempts at revascularization, and this must be considered when deciding upon the proper treatment strategy for patients with infrainguinal occlusive disease. (J Vasc Surg 2011;53:658-67.)”
“Background:
Peripheral arterial disease (PAD) is one of the serious complications in patients on hemodialysis (HD) therapy. However, arterial calcification of lower limbs’ arteries and its impact on the prevalence and severity of PAD has never been quantitatively evaluated in HD patients with PAD.
Methods: Ninety-seven HD patients were enrolled to evaluate calcification score in superficial femoral artery (SFACS) and below-knee arteries DNA Damage inhibitor (BKACS) quantitatively by 64-row multidetector computed tomography as well as ankle-brachial pressure index (ABI), toe-brachial pressure index (TBI), and clinical and laboratory parameters.
Results: Forty-six patients (47.2%) had PAD, and 11 patients had critical limb ischemia (CLI). SFACS and BKACS were significantly associated click here with the prevalence and severity of PAD, and receiver-operating characteristic analysis showed that SFACS and BKACS well predicted the prevalence of PAD and CLI in HD patients. The independent associating factors for PAD were BKACS
and low TB’ (r(2) = 0.534; P < .0001). Low TBI was also an independent associating factor for CLI (r(2) = 0.245; P < .0001). Multivariate analysis indicated that the independent associating factors for TBI in HD patients were BKACS and C-reactive protein (CRP; r(2) = 0.358; P = .006).
Conclusions: Present quantitative analysis clearly provided the first evidence that arterial calcification of lower limbs’ arteries was closely associated with the prevalence and severity of PAD in HD patients. Furthermore, arterial calcification of below-knee arteries and micro-inflammation represented as CRP were the independent associating factors for low TBI, which was the independent associating factor for PAD and CLI in HD patients. (J Vasc Surg 2011;53:676-83.)”
“Objective: The optimal method of operative management of complex branch renal artery aneurysms (RAAs) remains unclear, with recent reports predominantly espousing endovascular and ex vivo repair.