Iliac and femoropopliteal lesions: evaluation of balloon angioplasty and classical surgery.

Purpose: The purpose of this study was to compare the characteristics of patients treated for atherosclerotic disease of the lower extremities with balloon angioplasty (BA) or classical surgery (CS) and to assess the outcome of both techniques.

Methods: The records of 1364 patients who were treated with BA or CS for chronic lower limb ischemia between 1986 and 1993 were analyzed. Demographic features of patients, immediate and long-term survival, patency, and amputation rates were compared in both groups according to the level of the revascularization (iliac or femoropopliteal).

Thrombogenicity of an elastomer-coated aortofemoral Dacron prosthetic graft in humans.

To determine the potential benefit of Dacron prostheses impregnated with silicon polymer, an elastomer-coated prosthetic graft (Intervascular [I]) was implanted in 30 patients with aortic occlusive arterial disease or infrarenal abdominal aortic aneurysm. These patients were compared with two other groups who underwent vascular reconstruction with either a knitted double-velour prosthesis (Meadow [M] or a knitted prosthesis (Bard-USCI [U]). The different prostheses were randomly allocated just prior to their insertion.

Surgical transluminal femoropopliteal angioplasty: multivariate analysis outcome.

Purpose: The purpose of this study was to determine the efficacy of femoropopliteal transluminal angioplasty performed in the operating room by vascular surgeons and the factors that might influence outcome.

Methods: The clinical, biologic, and angiographic, findings of 103 consecutive transluminal angioplasties performed in the operating suite in 95 patients for occlusive disease of the femoral or popliteal arteries were analyzed. With each variable, patency was compared according to the log rank test, and a Cox multivariate analysis was applied to the statistically significant variables.

[Bilateral stenosis of the renal arteries: transaortic endarterectomy].

Transaortic renal endarterectomy with infra-renal aortic prosthetic graft may be used to treat combined aortic and renal atherosclerosis. We present herein the technics we used in seven patients, which represented 0.4% of our aortic revascularizations and 15% of our combined aortic and renal revascularizations.

[Influence of coronary disease on the results of carotid surgery].

The object of this retrospective (case-control) study of 513 carotid artery operations in 471 patients was to evaluate whether the presence of coronary artery disease at the time the decision to operate was taken, influence the prognosis of patients operated upon for stenosis of a carotid artery. Three groups were constituted and compared; no coronary artery disease (NC), stable coronary artery disease (CS) and unstable coronary artery disease (CI). Operative mortality was 1% (NC), 5% (CS) and 9% (CI) respectively (p < 0.