Turkish Journal of Vascular Surgery (Mar 2020)
Endovascular intervention in elderly patients with peripheral arterial disease
Abstract
Objectives: In this study, we present our early and mid-term experiences following treatment of femoropopliteal lesions via percutaneous transluminal angioplasty (PTA) in patients over 70 years of age. Patients and methods: This single-center, retrospective study included a total of 41 PTA procedures in 35 patients (23 males, 12 females; median age 74 years; range 70 to 87 years) due to femoropopliteal lesions between August 2015 and April 2018. The technical success rate was evaluated. The Kaplan-Meier analysis was used to evaluate the primary patency rate at 12 and 24 months. Results: The mean follow-up was 14.9±8.9 months. The technical success rate was 95.1%. The bailout stenting was required in 12 patients (29.3%). Only four patients (9.8%) required percutaneous reintervention at the end of the follow-up. The Kaplan-Meier analysis revealed primary patency rates as 82.9% and 57.2% at 12 and 24 months, respectively. Conclusion: Our study results support the idea that PTA in elderly patients with femoropopliteal lesions is a safe and effective option and can be applied with favorable results in the early and mid-term. In addition, endovascular procedures can be performed by cardiovascular surgeons with high success and low complication rates [Turk J Vasc Surg 2020; 29(3.000): 159-63]
