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KMID : 0904020070230020153
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Journal of Korean Society for Vascular Surgery
2007 Volume.23 No. 2 p.153 ~ p.158
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Early Experience of Surgeon-handed Angiography and Intervention
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Joh Jin-Hyun
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Abstract
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Purpose: Endovascular procedures are being used with increasing frequency for the treatment of patients with peripheral vascular disease. Vascular surgeons must adapt to this rapid change in treatment modalities toward less invasive procedures. These procedures require that the individual be familiar with intravascular catheter techniques. Therefore, the vascular surgeon should acquire endovascular treatment skills. The purpose of this study was to report the early experience of a vascular surgeon-handed digital subtraction angiography (DSA) and endovascular procedures.
Method: From March 2006 to October 2007, 104 patients (male 83, female 21, mean age 56.5±17.2, range 16∼94) underwent DSA or endovascular procedures. One vascular surgeon performed all of the procedures. The procedures were performed in the angiography suite equipped with INTEGRIS Allura 15 (Philips Medical Systems, DA Best, Netherlands).
Result: Seventy-seven patients (74.0%) underwent diagnostic DSA during the period. The indications for DSA were limb ischemia in 34 patients, electric burn in 26 patients, and a non-healing wound of the extremity in 10 patients. Ascending venography was performed in nine patients (8.6%) with deep vein thrombosis, 1 patient with venous ulcer and in 1 patient with suspicious for venous thoracic outlet syndrome. Sixteen patients (15.3%) underwent endovascular treatment. Among them, 14 patients with critical limb ischemia received percutaneous balloon angioplasty and/or stent insertion and two patients with deep vein thrombosis received catheter-directed thrombolytic therapy. The technical success rate was 100%. After the procedures, one patient had a puncture site hematoma and two patients had contrast-agent allergic reactions.
Conclusion: Surgeon-handed DSA and intervention showed a good success rate and reasonable complication rate.
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KEYWORD
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Endovascular, Treatment, Angiography, Stent
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