Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans

Introduction: With the advancement of minimally invasive techniques, percutaneous transluminal angioplasty with stenting (PTAS) has emerged as a significant treatment approach for lower limb arteriosclerosis obliterans (ASO). Aim: The aim of this study was to evaluate the clinical efficacy of PTA...

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Main Authors: Chengxiang Zhang, Shiyuan Chen
Format: Article
Language:English
Published: Termedia Publishing House 2024-11-01
Series:Videosurgery and Other Miniinvasive Techniques
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Online Access:https://www.mp.pl/videosurgery/issue/article/17915/
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author Chengxiang Zhang
Shiyuan Chen
author_facet Chengxiang Zhang
Shiyuan Chen
author_sort Chengxiang Zhang
collection DOAJ
description Introduction: With the advancement of minimally invasive techniques, percutaneous transluminal angioplasty with stenting (PTAS) has emerged as a significant treatment approach for lower limb arteriosclerosis obliterans (ASO). Aim: The aim of this study was to evaluate the clinical efficacy of PTAS in patients with lower limb ASO. Materials and methods: A total of 96 ASO patients admitted to our hospital between January 2021 and December 2022 were included in this study. They were divided into 2 groups according to the treatment method: the observation group (n = 48) received PTAS treatment, while the control group (n = 48) underwent percutaneous transluminal angioplasty (PTA). Treatment efficacy was evaluated 30 days postsurgery. Pre- and postoperative measurements included the ankle-brachial index (ABI), claudication distance, and quality of life scores derived from the 36-Item Short Form Health Survey (SF-36). Postoperative complications and the rate of target lesion revascularization (TLR) were also recorded. Results: In the observation group, 29 patients experienced marked improvement and 17 were effectively treated, yielding the total effectiveness rate of 95.83%, which was higher than in the control group (83.33%; P = 0.045). Both groups showed significant improvement in ABI, claudication distance, and SF-36 scores after treatment, with the observation group presenting significantly better results than the control group. There was no difference in the total incidence of complications between the 2 groups (P = 0.24), however, the TLR occurrence rate was lower in the observation group (P = 0.04). Conclusions: This study highlights the significant benefits of PTAS in the treatment of ASO, including improved overall effectiveness, enhanced functional indicators, and reduced rate of TLR, thus providing strong evidence for clinicians when selecting treatment methods for patients with lower limb ASO.
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spelling doaj-art-34746968c0ca4db9b19f169070fc640b2025-01-29T18:18:26ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542024-11-0119446546910.20452/wiitm.2024.17915Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliteransChengxiang Zhang0Shiyuan Chen1Department of Vascular Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, ChinaDepartment of Vascular Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, ChinaIntroduction: With the advancement of minimally invasive techniques, percutaneous transluminal angioplasty with stenting (PTAS) has emerged as a significant treatment approach for lower limb arteriosclerosis obliterans (ASO). Aim: The aim of this study was to evaluate the clinical efficacy of PTAS in patients with lower limb ASO. Materials and methods: A total of 96 ASO patients admitted to our hospital between January 2021 and December 2022 were included in this study. They were divided into 2 groups according to the treatment method: the observation group (n = 48) received PTAS treatment, while the control group (n = 48) underwent percutaneous transluminal angioplasty (PTA). Treatment efficacy was evaluated 30 days postsurgery. Pre- and postoperative measurements included the ankle-brachial index (ABI), claudication distance, and quality of life scores derived from the 36-Item Short Form Health Survey (SF-36). Postoperative complications and the rate of target lesion revascularization (TLR) were also recorded. Results: In the observation group, 29 patients experienced marked improvement and 17 were effectively treated, yielding the total effectiveness rate of 95.83%, which was higher than in the control group (83.33%; P = 0.045). Both groups showed significant improvement in ABI, claudication distance, and SF-36 scores after treatment, with the observation group presenting significantly better results than the control group. There was no difference in the total incidence of complications between the 2 groups (P = 0.24), however, the TLR occurrence rate was lower in the observation group (P = 0.04). Conclusions: This study highlights the significant benefits of PTAS in the treatment of ASO, including improved overall effectiveness, enhanced functional indicators, and reduced rate of TLR, thus providing strong evidence for clinicians when selecting treatment methods for patients with lower limb ASO.https://www.mp.pl/videosurgery/issue/article/17915/arteriosclerosis obliteransefficacylower limb occlusive arteriosclerosispercutaneous transluminal angioplasty with stenting
spellingShingle Chengxiang Zhang
Shiyuan Chen
Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
Videosurgery and Other Miniinvasive Techniques
arteriosclerosis obliterans
efficacy
lower limb occlusive arteriosclerosis
percutaneous transluminal angioplasty with stenting
title Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
title_full Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
title_fullStr Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
title_full_unstemmed Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
title_short Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
title_sort percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans
topic arteriosclerosis obliterans
efficacy
lower limb occlusive arteriosclerosis
percutaneous transluminal angioplasty with stenting
url https://www.mp.pl/videosurgery/issue/article/17915/
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AT shiyuanchen percutaneoustransluminalangioplastywithstentingforthetreatmentoflowerlimbarteriosclerosisobliterans