Combined Antegrade Femoral Artery and Retrograde Popliteal Artery Recanalization for Chronic Occlusions of the Superficial Femoral Artery
| Autor: | Wei Wang, Ye Yao, Hua-Fa Que, Liang Shen, Huan-Yu Xiang, Song Wang, Qiong Li, Weihao Shi, Jienan Xu, Zhou Jie, Liu Xiaodong, Wei Shan, Yun-fei Wang, Qiufeng Zhao, Jie Xing, Bo Yu, Zhen Zhang |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Supine position medicine.medical_treatment Arteriovenous fistula Punctures Femoral artery Patient Positioning Peripheral Arterial Disease Pseudoaneurysm Hematoma medicine.artery Angioplasty Catheterization Peripheral Supine Position Humans Medicine Ankle Brachial Index Popliteal Artery Radiology Nuclear Medicine and imaging Vascular Patency Aged Retrospective Studies Aged 80 and over business.industry Middle Aged medicine.disease Popliteal artery Surgery Femoral Artery Radiography Treatment Outcome Chronic Disease Female Stents Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Claudication |
| Zdroj: | Journal of Vascular and Interventional Radiology. 25:1363-1368 |
| ISSN: | 1051-0443 |
| DOI: | 10.1016/j.jvir.2014.02.006 |
| Popis: | To evaluate the efficacy and safety of a dual femoral-popliteal approach in the supine position after failed antegrade recanalization attempts in chronic total occlusion (CTO) of the superficial femoral artery (SFA).From May 2011 to October 2012, 21 patients underwent dual femoral-popliteal recanalization for CTO of the SFA, with a mean lesion length of 87.4 mm ± 5.8. When contralateral antegrade recanalization of SFA occlusions via the common femoral artery could not be achieved, the occlusions were intrainterventionally accessed by retrograde approach via the popliteal artery, which was punctured anteriorly with gently flexed knee and crus extorsion. When the SFA had been recanalized, further angioplasty and stent placement procedures were completed via the femoral artery.A technical success rate of 100% (entailing puncture of the popliteal artery and SFA recanalization) was achieved, and no hemorrhage, hematoma, pseudoaneurysm, arteriovenous fistula, or other complications developed. During a mean follow-up of 9.8 months ± 1.5, claudication severity, rest pain, and toe ulcers improved significantly. The pulse of the distal arteries, as well as the filling of the veins, could be distinctly felt. Ankle-brachial index changed from 0.48 ± 0.17 to 0.84 ± 0.11 at 1 year after intervention (P.001), and patency rates at 1, 6, and 12 months after interventions were 100%, 80%, and 42%, respectively.A dual femoral-popliteal approach in the supine position is an alternative backup option after failed attempts at the antegrade approach for patients with proximal barriers in CTO or lesions with major extending collateral vessels. |
| Databáze: | OpenAIRE |
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