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Hafner, F; Seinost, G; Gary, T; Froehlich, H; Pilger, E; Brodmann, M.
Are flow-mediated vasodilatation and intima-media thickness of the brachial artery associated with restenosis after endovascular treatment of peripheral arterial occlusive disease?
Eur Radiol. 2010; 20(10): 2533-2540.
Doi: 10.1007/s00330-010-1801-z
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PubMed
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- Leading authors Med Uni Graz
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Hafner Franz
- Co-authors Med Uni Graz
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Brodmann Marianne
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Fröhlich Harald
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Gary Thomas
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Pilger Ernst
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Seinost Gerald
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- Abstract:
- Restenosis after percutaneous angioplasty of peripheral arteries is still an unsolved matter. Previous studies reported an association between flow-mediated dilatation (FMD), a marker of endothelial dysfunction, and restenosis after coronary angioplasty. This study evaluates the influence of FMD and brachial intima-media thickness (B-IMT) on restenosis after angioplasty of peripheral arteries. One hundred and eighty-four patients (124 male) with claudication related to peripheral arterial disease participated in this trial. FMD and B-IMT were assessed before endovascular revascularisation. In a 12-month follow-up duplex ultrasound examinations were performed to detect restenosis. Finally 128 patients (91male, 37 female) were eligible for statistical analysis. Restenosis was found in 54 patients (42.2%). Mean FMD was 3.53 +/- 3.56%, with no difference between the patients with restenosis (3.55 +/- 3.64%) and those without (3.52 +/- 3.48%; p = 0.716). B-IMT had a mean value of 0.326 +/- 0.134 mm. B-IMT significantly differed between the patients with restenosis (0.326 +/- 0.134 mm) and those without (0.256 +/- 0.133 mm; p = 0.007). We confirmed that a B-IMT over 0.21 mm was an independent risk factor for restenosis [OR 2.9 (1.3-6.3)]. Endothelial dysfunction is not associated with restenosis. Conversely patients with enlarged B-IMT are at risk of restenosis after angioplasty of peripheral arteries.
- Find related publications in this database (using NLM MeSH Indexing)
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Angioplasty - methods
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Angioplasty, Balloon - methods
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Brachial Artery - pathology
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Endothelium, Vascular - pathology
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Female -
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Follow-Up Studies -
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Humans -
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Male -
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Odds Ratio -
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Peripheral Vascular Diseases - pathology
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Prospective Studies -
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Risk -
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Risk Factors -
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Tunica Intima - pathology
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Tunica Media - pathology
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Vasodilation -
- Find related publications in this database (Keywords)
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Restenosis
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Flow mediated dilatation
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Endothelial dysfunction
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Intima-media thickness
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Peripheral arterial disease