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G J van Andel

Publications and source records attributed to G J van Andel.

10 recordsLinked to original sources

Percutaneous transluminal dilatation of the iliac artery: long-term results.

One hundred fifty-four patients with stenosis of the iliac artery underwent percutaneous transluminal angioplasty (PTA). These patients were followed for 1-7 years. The long-term results of the PTAs were analyzed by computer, and life tables were generated for dilatations of the iliac arteries with unimpaired flow and for those with an obstruction in the outflow tract. The accumulative 7-year patency rate was 90%, which agrees with other reports. This study demonstrates that the long-term results of PTA of iliac arterial stenoses are competitive with reconstructive vascular surgery. PTA should be the treatment of choice in patients with iliac arterial stenoses.

Adult

Percutaneous transluminal angioplasty of the femoropopliteal artery: initial and long-term results.

Patients with dilated stenoses and recanalized occlusions were evaluated to assess the initial and long-term results of percutaneous transluminal angioplasty (PTA) in the femoropopliteal artery. The follow-up period was at least 1 year. The initial success rate was 84% (128/164). The initial results were influenced by the radiologist's experience, catheter selection, and type of lesion. The 5- and 7-year cumulative patency rates were 70% and 60%. There was no difference in long-term patency between initially successful stenoses and short (less than 3 cm) occlusions. Both the morphology and location of the stenotic lesion influenced the long-term results. Although many factors influence the initial and long-term success rate, results of this study justify PTA in the femoropopliteal artery. Patients with localized stenoses and short occlusions are best suited for this treatment.

Adult

Transluminal iliac angioplasty: long-term results.

Transluminal angioplasty was performed in 51 iliac arteries in 48 patients with an average follow-up of 33 months. In three cases, the guidewire could not pass the stenosis. On two occasions, stenosis recurred within six months and the procedure was repeated. Lasting results were achieved in 92% of the dilated arteries. One of the most important advantages of transluminal iliac dilatation over surgery is that the danger of severing sympathetic fibers is avoided and innervation of genital function remains intact.

Adult

Arterial occlusion following angiography.

Many radiologists do not follow up the patients on whom they have performed angiography. This is only done when a radiologist is required to treat a patient with transluminal dilatation (the Dotter procedure) after a stenosis has been found in the iliac or femoropopliteal arteries. The author observed that in some cases an occlusion developed at the stenosis after angiography. The possibility of a causal connection is discussed.

Aged