Role of endovascular treatments in the management of arteriopathies of the aged subject

Endovascular procedures have deeply modified the treatment of patients with peripheral arterial diseases. However risks of transluminal angioplasty are increased with patient age. In patients with acute ischemia by distal embolism or in situ thrombosis percutaneous thromboaspiration is an alternativ...

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Bibliographic Details
Published inBulletin de l'Académie nationale de médecine Vol. 183; no. 1; p. 97
Main Authors Fiessinger, J N, Velut, J G, Gaux, J C
Format Journal Article
LanguageFrench
Published Netherlands 1999
Subjects
Aged
Angioplasty, Balloon
Embolism - therapy
Humans
Middle Aged
Risk Factors
Thrombosis - therapy
Vascular Diseases - therapy
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Summary:Endovascular procedures have deeply modified the treatment of patients with peripheral arterial diseases. However risks of transluminal angioplasty are increased with patient age. In patients with acute ischemia by distal embolism or in situ thrombosis percutaneous thromboaspiration is an alternative to the Fogarty catheter. In patients with chronic critical ischemia, revascularization is necessary. Risks of surgical treatment are rather in favour of endovascular procedures. In patients suffering of intermittent claudication, results of a series of 38 patients confirm the efficacy of angioplasty. Thus endovascular procedures can be proposed in alternative to medical treatment to patients over 70 years of age.
ISSN:0001-4079