Evaluation of new endoluminal revascularization techniques for lower limb arteries

Aho S, Long A, Durieux P
Record ID 31996008280
Authors' results and conclusions: Balloon angioplasty has an immediate success rate of 96.5% in iliac arteries, but the long-term patency rate falls to 54% at 5 years for stenoses. New techniques are designed to improve the immediate and long-term results of balloon angioplasty: Laser angioplasty, atherectomy, Omnicath, TEC, Bard Motarj41eme, PAC catheters, Rotablator, stents, thrombolysis, thrombosuction, ultrasound.
Authors' recommendations: Balloon angioplasty is the reference percutaneous technique, but comparative data concerning surgery and angioplasty are inadequate. Technical quality assurance of new technologies must be provided either by approval procedures or by quality assurance procedures. Laser is not indicated at the present time due to its complications and limited efficacy. No atherectomy techniques have yet been validated and must be confined to research protocols. Stents are a complement to angioplasty, but no particular stent has been shown to be superior to another. Thrombosuction and ultrasound techniques are recent and further evaluation is required.
Authors' methods: Systematic review
Project Status: Completed
URL for project: http://www.has-sante.fr/
Year Published: 1993
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: France
MeSH Terms
  • Angioplasty, Balloon
  • Angioplasty, Laser
  • Atherectomy
  • Carotid Stenosis
  • Intermittent Claudication
  • Lasers
  • Peripheral Vascular Diseases
  • Renal Artery Obstruction
  • Stents
  • Thrombolytic Therapy
  • Ultrasonic Therapy
Organisation Name: L'Agence Nationale d'Accreditation d'Evaluation en Santé
Contact Address: 2 avenue du Stade de France, 93218 Saint-Denis La Plaine Cedex, France. Tel: +33 01 55 93 71 88; Fax: +33 01 55 93 74 35;
Contact Name: sh.leerobin@has-sante.fr
Contact Email: sh.leerobin@has-sante.fr
Copyright: Agence Nationale pour le Developpement de l'Evaluation Medicale
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