{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:13:17Z","timestamp":1760955197579},"reference-count":0,"publisher":"Hogrefe Publishing Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2010,5,1]]},"abstract":"<jats:p> Background: The outcome of percutaneous transluminal angioplasty (PTA) of peripheral arterial lesions is influenced by several factors, including the haemodynamic conditions. Our study tested: (a) whether infrapopliteal run-off after completed PTA influenced the time course of restenosis\/reocclusion of the femoropopliteal arterial segment, and (b) whether worsening of infrapopliteal run-off influenced the long-term femoropopliteal patency after PTA. Patients and methods: Among 245 patients treated by femoropopliteal PTA we enroled 176 patients who consented to regular follow-up. Concomitant infrapopliteal PTA was performed whenever feasible. The technical success of PTA and the patency of calf arteries were assessed by angiography. Infrapopliteal run-off was scored by a modification of the Society for Vascular Surgery criteria. The treated patients' limbs were divided into a group with good infrapopliteal run-off and a group with compromised run-off. Follow-up examination of the femoropopliteal arterial segment was performed by vascular ultrasonography (US) 1, 6 and 12 months after PTA, and an adverse outcome was defined by a \u2265 50 % stenosis, i.e., at least doubling of the maximal systolic velocity, or occlusion - evidenced by the absence of flow. The patency of calf arteries was re-assessed by US 12 months after PTA. Results: One month after femoropopliteal PTA 19 \/ 83 (23 %) of patients with compromised run-off developed the combined end-point of restenosis or reocclusion in comparison to 10 \/ 93 (11 %) with good run-off (p = 0.03). After 6 months the incidence of restenosis\/reocclusion had increased in both groups at an approximately equal rate, but the differences were no longer significant: 39 \/ 80 (49 %) in the compromised run-off group vs. 36 \/ 83 (43 %) in the good run-off group after 6 months, p = 0.49, and 42 \/ 73 (57 %) vs. 38 \/ 73 (52 %) after 12 months, p = 0.51. However, in patients' limbs with good periprocedural run-off that deteriorated into compromised run-off in the year after PTA, femoropopliteal restenosis\/reocclusion occurred more often than in limbs which retained good run-off: 10 \/ 14 (71 %) vs. 18 \/ 51 (35 %), p = 0.02. Conclusions: Compromised postprocedural infrapopliteal run-off predisposes to early restenosis\/reocclusion after femoropopliteal PTA. Deterioration of infrapopliteal run-off in the year after femoropopliteal PTA is accompanied by worsening of long-term femoropopliteal patency. <\/jats:p>","DOI":"10.1024\/0301-1526\/a000022","type":"journal-article","created":{"date-parts":[[2010,5,11]],"date-time":"2010-05-11T22:32:06Z","timestamp":1273617126000},"page":"159-168","source":"Crossref","is-referenced-by-count":20,"title":["Infrapopliteal run-off and the outcome of femoropopliteal percutaneous transluminal angioplasty"],"prefix":"10.1024","volume":"39","author":[{"family":"Salapura","sequence":"first","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Blinc","sequence":"additional","affiliation":[{"name":"Department of Vascular Diseases, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Kozak","sequence":"additional","affiliation":[{"name":"Department of Vascular Diseases, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Jezovnik","sequence":"additional","affiliation":[{"name":"Department of Vascular Diseases, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Pohar Perme","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Informatics, University of Ljubljana Medical Faculty, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Berden","sequence":"additional","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Kuhelj","sequence":"additional","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Kljucevsek","sequence":"additional","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Popovic;","sequence":"additional","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Stankovic","sequence":"additional","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Vrtovec","sequence":"additional","affiliation":[{"name":"Clinical Institute of Radiology, University of Ljubljana Medical Centre, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Surlan","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Maribor Medical Faculty, Maribor, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","container-title":["Vasa"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0301-1526\/a000022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T07:47:01Z","timestamp":1651996021000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0301-1526\/a000022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,5,1]]}},"alternative-id":["10.1024\/0301-1526\/a000022"],"URL":"https:\/\/doi.org\/10.1024\/0301-1526\/a000022","relation":{},"ISSN":["0301-1526","1664-2872"],"issn-type":[{"type":"print","value":"0301-1526"},{"type":"electronic","value":"1664-2872"}],"subject":[],"published":{"date-parts":[[2010,5,1]]}}}