Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA)
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 method...
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Veröffentlicht in: | European journal of vascular surgery 1991-10, Vol.5 (5), p.517-522 |
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container_title | European journal of vascular surgery |
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creator | Holm, Jan Arfvidsson, Berndt Jivegard, Lennart Lundgren, Fredrik Lundholm, Kent Scherstén, Tore Stenberg, Bjorn Tylen, Ulf Fredrik Zachrisson, Bo Lindberg, Håkan Mattsson, Erney Persson, Bengt Spangen, Leif Jonsson, Egon |
description | 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. |
doi_str_mv | 10.1016/S0950-821X(05)80338-X |
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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.</description><identifier>ISSN: 0950-821X</identifier><identifier>DOI: 10.1016/S0950-821X(05)80338-X</identifier><identifier>PMID: 1835704</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amputation ; Angioplasty, Balloon ; Blood Vessel Prosthesis ; Endarterectomy ; Female ; Follow-Up Studies ; Humans ; Ischemia - surgery ; Leg - blood supply ; Male ; Middle Aged ; Percutaneous transluminal angioplasty (PTA) ; Postoperative Complications - mortality ; Postoperative Complications - surgery ; Prospective randomised study ; Prospective Studies ; Reoperation ; Survival Rate ; Vascular reconstruction</subject><ispartof>European journal of vascular surgery, 1991-10, Vol.5 (5), p.517-522</ispartof><rights>1991 Grune & Stratton Ltd.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c275t-4eb3b9125078902b7f5026fb11228ad601c5b69e783befd40f99f49751f3749e3</citedby><cites>FETCH-LOGICAL-c275t-4eb3b9125078902b7f5026fb11228ad601c5b69e783befd40f99f49751f3749e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1835704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holm, Jan</creatorcontrib><creatorcontrib>Arfvidsson, Berndt</creatorcontrib><creatorcontrib>Jivegard, Lennart</creatorcontrib><creatorcontrib>Lundgren, Fredrik</creatorcontrib><creatorcontrib>Lundholm, Kent</creatorcontrib><creatorcontrib>Scherstén, Tore</creatorcontrib><creatorcontrib>Stenberg, Bjorn</creatorcontrib><creatorcontrib>Tylen, Ulf</creatorcontrib><creatorcontrib>Fredrik Zachrisson, Bo</creatorcontrib><creatorcontrib>Lindberg, Håkan</creatorcontrib><creatorcontrib>Mattsson, Erney</creatorcontrib><creatorcontrib>Persson, Bengt</creatorcontrib><creatorcontrib>Spangen, Leif</creatorcontrib><creatorcontrib>Jonsson, Egon</creatorcontrib><title>Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA)</title><title>European journal of vascular surgery</title><addtitle>Eur J Vasc Surg</addtitle><description>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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Angioplasty, Balloon</subject><subject>Blood Vessel Prosthesis</subject><subject>Endarterectomy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ischemia - surgery</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Percutaneous transluminal angioplasty (PTA)</subject><subject>Postoperative Complications - mortality</subject><subject>Postoperative Complications - surgery</subject><subject>Prospective randomised study</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><subject>Survival Rate</subject><subject>Vascular reconstruction</subject><issn>0950-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1P3DAQ9aGIAu1PQPKpgkPATuJ1cqpWKwpISK1UKu3NcpzxrisnTv2xKP-oPxNDED32ZOu9mTfz5iF0TskVJXR1_ZO0jBRNSbcXhF02pKqaYvsBnbzDH9FpCL8JqXhLymN0TJuKcVKfoL-bvXejUdi6J_DYmqHDJqi9hMHIK7zGk3dhAhXNAbCXY-8GE6DHyo3RO2vzN8TUzxkYJunNuMNxD5gWM0iPPYRkY8BO44MMKtmMheR34GectfAEXqUoR3Ap4Jjlg02DGaXN7M64ycoQZ3zx43F9-QkdaWkDfH57z9CvbzePm7vi4fvt_Wb9UKiSs1jU0FVdS0tGeJOtdlwzUq50R2lZNrJfEapYt2qBN1UHuq-Jbltdt5xRXfG6heoMfVl0s_E_CUIU2bACa5ctBc_SWbvOhWwpVPlCwYMWkzeD9LOgRLykIl5TES_nF4SJ11TENvedvw1I3QD9v64lksx_XXjILg8GvAjKwKigNz7nIHpn_jPhGXIhovI</recordid><startdate>199110</startdate><enddate>199110</enddate><creator>Holm, Jan</creator><creator>Arfvidsson, Berndt</creator><creator>Jivegard, Lennart</creator><creator>Lundgren, Fredrik</creator><creator>Lundholm, Kent</creator><creator>Scherstén, Tore</creator><creator>Stenberg, Bjorn</creator><creator>Tylen, Ulf</creator><creator>Fredrik Zachrisson, Bo</creator><creator>Lindberg, Håkan</creator><creator>Mattsson, Erney</creator><creator>Persson, Bengt</creator><creator>Spangen, Leif</creator><creator>Jonsson, Egon</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199110</creationdate><title>Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA)</title><author>Holm, Jan ; Arfvidsson, Berndt ; Jivegard, Lennart ; Lundgren, Fredrik ; Lundholm, Kent ; Scherstén, Tore ; Stenberg, Bjorn ; Tylen, Ulf ; Fredrik Zachrisson, Bo ; Lindberg, Håkan ; Mattsson, Erney ; Persson, Bengt ; Spangen, Leif ; Jonsson, Egon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c275t-4eb3b9125078902b7f5026fb11228ad601c5b69e783befd40f99f49751f3749e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation</topic><topic>Angioplasty, Balloon</topic><topic>Blood Vessel Prosthesis</topic><topic>Endarterectomy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ischemia - surgery</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Percutaneous transluminal angioplasty (PTA)</topic><topic>Postoperative Complications - mortality</topic><topic>Postoperative Complications - surgery</topic><topic>Prospective randomised study</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><topic>Survival Rate</topic><topic>Vascular reconstruction</topic><toplevel>online_resources</toplevel><creatorcontrib>Holm, Jan</creatorcontrib><creatorcontrib>Arfvidsson, Berndt</creatorcontrib><creatorcontrib>Jivegard, Lennart</creatorcontrib><creatorcontrib>Lundgren, Fredrik</creatorcontrib><creatorcontrib>Lundholm, Kent</creatorcontrib><creatorcontrib>Scherstén, Tore</creatorcontrib><creatorcontrib>Stenberg, Bjorn</creatorcontrib><creatorcontrib>Tylen, Ulf</creatorcontrib><creatorcontrib>Fredrik Zachrisson, Bo</creatorcontrib><creatorcontrib>Lindberg, Håkan</creatorcontrib><creatorcontrib>Mattsson, Erney</creatorcontrib><creatorcontrib>Persson, Bengt</creatorcontrib><creatorcontrib>Spangen, Leif</creatorcontrib><creatorcontrib>Jonsson, Egon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holm, Jan</au><au>Arfvidsson, Berndt</au><au>Jivegard, Lennart</au><au>Lundgren, Fredrik</au><au>Lundholm, Kent</au><au>Scherstén, Tore</au><au>Stenberg, Bjorn</au><au>Tylen, Ulf</au><au>Fredrik Zachrisson, Bo</au><au>Lindberg, Håkan</au><au>Mattsson, Erney</au><au>Persson, Bengt</au><au>Spangen, Leif</au><au>Jonsson, Egon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA)</atitle><jtitle>European journal of vascular surgery</jtitle><addtitle>Eur J Vasc Surg</addtitle><date>1991-10</date><risdate>1991</risdate><volume>5</volume><issue>5</issue><spage>517</spage><epage>522</epage><pages>517-522</pages><issn>0950-821X</issn><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. 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subjects | Adult Aged Aged, 80 and over Amputation Angioplasty, Balloon Blood Vessel Prosthesis Endarterectomy Female Follow-Up Studies Humans Ischemia - surgery Leg - blood supply Male Middle Aged Percutaneous transluminal angioplasty (PTA) Postoperative Complications - mortality Postoperative Complications - surgery Prospective randomised study Prospective Studies Reoperation Survival Rate Vascular reconstruction |
title | Chronic lower limb ischaemia. A prospective randomised controlled study comparing the 1-year results of vascular surgery and percutaneous transluminal angioplasty (PTA) |
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