Angioplastie fémorale superficielle : résultats à long terme, facteurs initiaux de bon pronostic: À propos de 101 patients

Abstract

Objective To evaluate immediate results, clinical improvement, long-term patency and predictive factors of long-term outcome after superficial femoral artery percutaneous angioplasty. Patients and Methods Restrospective monocentric study of 101 patients (142 lesions: 105 stenoses and 37 occlusions) technical results, long-term patency (19 months), and clinical improvement (27,5 months) were analyzed. A multifactorial analysis was performed. Results Technical success was obtained in 99%, complications and mortality rates were respectively 3% and 2%. At the end of follow-up, 55 patients were clinically improved (20 lost to follow-up), and femoral artery remained patent in 62 patients (10 to follow-up). Statistical analyses revealed 8 significant predictive factors of a good outcome (P < 0.05): female gender, non-diabetic, at least one patent artery below the knee, AHA classification < 2, no stent, treatment of an occlusion, number of dilatations < 3, treatment by statins for hypercholesterolemia. Conclusion Femoral superficial artery angioplasty is usually achieved with low complication rate. We found eight factors predictive of long-term outcome, to keep in mind when indications are discussed. (J Mal Vasc 2005; 30: 291-5)