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Arthur C. Waltman, MD; Alan J. Greenfield, MD; Robert A. Novelline, MD; William M. Abbott, MD; David C. Brewster, MD; R. Clement Darling, MD; Ashby C. Moncure, MD; Leslie W. Ottinger, MD; Christos A. Athanasoulis, MD

Arch Surg. 1982;117(9):1218-1221.

Abstract
• Transluminal angioplasty for the management of atherosclerosis obliterans has been performed in 160 patients for 100 iliac and 98 femoropopliteal lesions. The procedure was performed percutaneously except in eight patients in whom operative exposure was required. Angioplasty was technically successful in all 100 iliac artery lesions. There was hemodynamic and clinical improvement in 92 lesions. The procedure was technically successful in 84 of the 98 femoropopliteal artery lesions with hemodynamic improvement in 74 and clinical improvement in 78. There were ten complications directly related to the angioplasty and six related to the arteriographic procedure. Cumulative patency rates for the angioplasties were 92% and 75% at three years for iliac and femoropopliteal lesions, respectively. These promising results suggest that transluminal angioplasty has a definite role in the management of atherosclerosis obliterans of iliac and femoropopliteal arteries.

(Arch Surg 1982;117:1218-1221)

Author Affiliations
From the Department of Radiology (Drs Waltman, Greenfield, Novelline, and Athanasoulis), and General Surgical Services (Drs Abbott, Brewster, Darling, Moncure, and Ottinger), Massachusetts General Hospital, and Harvard Medical School, Boston.

Footnotes
Accepted for publication April 1, 1982.

Read before the eighth annual meeting of the New England Society for Vascular Surgery, Waterville Valley, NH, Sept 25, 1981.

Reprint requests to Department of Radiology, Massachusetts General Hospital, Boston, MA 02114 (Dr Waltman).

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