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Percutaneous Excimer Laser Angioplasty of Lower Limb Vessels: Results of a Prospective 24-Month Follow-up

Department of Internal Medicine, University of Padua, Italy.

Claudio Perissinotto, MD

Department of Internal Medicine, University of Padua, Italy.

Luigi Lusiani, MD

Department of Internal Medicine, University of Padua, Italy.

Andrea Bonanome, MD

Department of Internal Medicine, University of Padua, Italy.

Raffaele Pesavento, MD

Department of Internal Medicine, University of Padua, Italy.

Luigi Miserocchi, MD

Department of Radiology, University of Padua, Italy.

Guido Liessi, MD

Department of Radiology, University of Padua, Italy.

Antonio Pagnan, MD

Department of Internal Medicine, University of Padua, Italy.

The aim of this prospective study was to assess the effectiveness and the long-term patency effect of excimer laser angioplasty in peripheral arterial obstructive disease. Seventy-eight patients referred for excimer laser angioplasty of lower limbs have been followed up for up to 24 months. Ankle/brachial systolic pressure index, color Doppler mapping, and arterial digital subtraction angiography were performed. Immediate proce dural success was achieved in a high percentage of patients (97%). Balloon angioplasty was also used in 85% of patients. Early reocclusions occurred in 8% of patients. The cumulative patency rate was 47% at the 12-month interval and 40% at the 24-month interval. Poor runoff and the length of the lesions negatively influenced the outcome. Excimer laser angioplasty is an effective procedure, indicated in selected patients showing < 10 cm occlusions and good runoff.

Angiology, Vol. 49, No. 2, 91-98 (1998)
DOI: 10.1177/000331979804900201


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