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Percutaneous transluminal angioplasty between 1998 and 2002: outcomes of interventions proximal and distal to the inguinal ligament
Sophiahemmet University.
Sophiahemmet University.
2008 (English)In: Open Access Surgery, ISSN 1178-7082, Vol. 1, p. 9-19Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to examine patients who have undergone percutaneous transluminal angioplasty (PTA) in order to describe patient characteristics and outcomes of interventions proximal and distal to the inguinal ligament and to assess whether different living situations may be associated with the outcome of PTA-intervention.

Design: A retrospective descriptive chart review.

Setting: A Swedish University Hospital between January 1998 and December 2002.

Participants: All patients who have undergone PTA.

Main outcome measure: Medical and nursing records from medical, surgical, orthopedic, and geriatric clinics were reviewed to obtain data. A study-specific protocol was developed.

Results: Eighty-seven patients were treated with PTA proximal and 101 distal to the inguinal ligament. No significant differences regarding outcome were found. Fifty-two patients had hematoma/bruise as a complication, which was more common among non-diabetic patients; 46 without diabetes versus 6 diagnosed with diabetes (p = 0.001). When comparing patients living situations and mortality, 76 of the deceased patients had been living alone compared to 38 of the survivors (p = 0.001).

Conclusions: The patients were younger in the proximal group, however no differences in outcome were found between patients who had undergone PTA whether proximal or distal to the inguinal ligament. Hematomas/bruises as a complication were more common among nondiabetic patients. Amputation was a strong predictor of death during follow-up.

Place, publisher, year, edition, pages
Shanghai: Dove Medical Press , 2008. Vol. 1, p. 9-19
Keywords [en]
Angioplasty, Balloon, Peripheral vascular diseases, Treatment outcome
Keywords [sv]
Perkutan transluminal angioplastik (PTA), Perifer arteriell sjukdom
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-2OAI: oai:DiVA.org:shh-2DiVA, id: diva2:301060
Available from: 2010-03-02 Created: 2010-02-12 Last updated: 2020-06-02Bibliographically approved
In thesis
1. Life situation in people with peripheral arterial disease and their family members
Open this publication in new window or tab >>Life situation in people with peripheral arterial disease and their family members
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Life with peripheral arterial disease and the resulting impaired walking ability leads to major limitations in daily life and a decreased quality of life. The overall aim of this thesis was to generate understanding about the life situation among people living with peripheral arterial disease and their family members. The outcomes after percutaneous transluminal angioplasty interventions both proximal and distal to the inguinal ligament were assessed by collecting data by means of chart review using a study specific protocol. The results show a connection between proximal intervention and age as well as proximal intervention and smoking. Patients in the proximal group were younger and more frequent smokers or former smokers and hematomas/bruises as a complication were more common among non-diabetic patients (Paper I). Health related quality of life in patients with peripheral arterial disease undergoing percutaneous transluminal angioplasty intervention was investigated using a general questionnaire (EQ5D) as well as a disease-specific questionnaire (CLAU-S) translated into Swedish for this study. The health related quality of life was improved both one month and one year after the percutaneous transluminal angioplasty compared to before the intervention (Paper II). The experiences of living with intermittent claudication were studied through qualitative interviews with individuals suffering from peripheral arterial disease. The interviews were analyzed by thematic content analysis and six themes together founded a main theme concerning adjusting to a restricted life when living with intermittent claudication (Paper III). Spouses and cohabitants were interviewed about their experiences of living together with a person suffering from intermittent claudication. The overall theme was about living a demanding life when living together with someone with intermittent claudication. The findings of this study give insight into the complexities and the difficulties of ageing and living together with someone suffering from intermittent claudication (Paper IV). In conclusion, living with intermittent claudication has a major impact on daily life and demands adjustment to a restricted life. Percutaneous transluminal angioplasty improves health related quality of life among individuals suffering from peripheral arterial disease and the effect is sustainable over time up to one year after the intervention. People who had undergone percutaneous transluminal angioplasty were younger in the proximal group and hematomas/bruises were more common among nondiabetic patients. Ageing and intermittent claudication have great impact on both the spouse’s and the ill person’s life situation

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2011. p. 45
Keywords
Peripheral vascular disease, Experiences, Angioplasty, balloon, Health related quality of life, Life situation, Family members
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-894 (URN)978-91-7457-501-9 (ISBN)
Public defence
2011-12-02, Erforssalen, Sophiahemmet Högskola, Lindstedtsvägen 8, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2011-12-02 Created: 2011-11-11 Last updated: 2020-06-02Bibliographically approved

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http://www.dovepress.com/percutaneous-transluminal-angioplasty-between-1998-and-2002-outcomes-o-peer-reviewed-article-OAS

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Egberg, LouiseMattiasson, Anne-Cathrine

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Citation style
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