Author/Editor		Ključevšek, Tomaž
Title		Podkolenska perkutana transluminalna angioplastika
Translated title		Infrapopliteal percutaneous transluminal angioplasty
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 42, št. Suppl 2
Publication year		2003
Volume		str. 51-5
Language		slo
Abstract		The article presents infrapopliteal percutaneous transluminal angioplasty. Technical advances have improved the initial results, mainly by decreasing the rate of complications of these interventions. In most institutions, infrapopliteal PTA is a procedure that is still reserved for critical limb ischemia. Since patients with an occlusive disease of small vessels are at a high risk of restenosis, it is accepted that angioplasty of small vessels is not worthwhile in the case of claudication. Short-term patency suffices for the disappearance of pain at rest and/or ulcer healing. Subsequently, clinical success is maintained for longer than angiographic patency. Infrapopliteal PTA is a safe procedure when performed by a skilled interventional radiologist. It can be performed without any particular contraindications in patients with coronary disease, nephropathy or high surgical risk.
Summary		V prispevku predstavljam perkutano transluminalno angioplastiko na nivoju golenskih arterij. Z razvojem katetrov in vodilnih žic so rezultati posegov boljši, odstotek zapletov pa je manjši. Podkolenska perkutana transluminalna angioplastika v večini ustanov ostaja metoda zdravljenja kronične kritične ishemije. Zdravljenje bolnikov z intermitentno klavdikacijo zaradi visoke stopnje ponovnih zožitev po angioplastiki ni sprejeto. Kratkotrajnejša prehodnost golenskih arterij pa dostikrat zadostuje za zdravljenje razjed in izginotje ishemične bolečine v mirovanju. Klinični uspeh je tako dolgotrajnejši od angiografske prehodnosti. V rokah izkušenega intervencijskega radiologa je to varna metoda, ki se lahko izvaja tudi pri bolnikih s koronarno boleznijo, visokim kirurškim tveganjem in nefropatijo.
Descriptors		ARTERIAL OCCLUSIVE DISEASES PERIPHERAL VASCULAR DISEASES TIBIAL ARTERIES ANGIOPLASTY, BALLOON ATHEROSCLEROSIS