Journal ArticleDOI
Percutaneous transluminal angioplasty of occlusions of the femoral and popliteal arteries by subintimal dissection.
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TLDR
The technique has proved to be an effective method of treating occlusions of the femoral and popliteal arteries with an acceptable complication rate and may allow successful angioplasty where the standard intraluminal method fails, particularly when reconstructive surgery is the only option.Abstract:
A technique for recanalization of femoral and popliteal arterial occlusions by intentional subintimal dissection is described. Recanalization with this technique was attempted in 71 occlusions of the femoro-popliteal segment with a mean length of 11.4 cm. Primary technical success was achieved in 54 (76%) cases, with complications occurring in 4 (5.6%). Of 44 successful cases reviewed at a mean follow up of 6 months, 37 (84%) were either asymptomatic or improved. The technique has proved to be an effective method of treating occlusions of the femoral and popliteal arteries with an acceptable complication rate. It may allow successful angioplasty where the standard intraluminal method fails, particularly when reconstructive surgery is the only option.read more
Citations
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Patent
Catheter system for vascular re-entry from a sub-intimal space
Kurt D. Sparks,Jeffrey L Emery,Brent D. Seybold,David J. Kupiecki,C. Danielle Pinson,Allen W. Madsen,Michael D. Keleher,Sergio Salinas,Benjamin J. Clark,Matthew R. Selmon +9 more
TL;DR: In this paper, a catheter system and corresponding methods for accessing a blood vessel true lumen from a sub-intimal plane of the vessel were presented, which is distal to a chronic total occlusion (CTO).
Journal ArticleDOI
Subintimal angioplasty of femoropopliteal artery occlusions: The long-term results
N. J. M. London,R. Srinivasan,A.R. Naylor,T. Hartshorne,D. A. Ratliff,P. R. F. Bell,Amman Bolia +6 more
TL;DR: The technical success rate (80%) of subintimal angioplasty for femoropopliteal occlusions is unrelated to occlusion length and for all procedures, including technical failures, cumulative symptomatic and haemodynamic patencies of 46 and 48% can be achieved at 3 years.
Journal ArticleDOI
Subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia.
David J. Spinosa,Nancy L. Harthun,Eric A. Bissonette,Dorothy L. Cage,Daniel T. Leung,John F. Angle,Klaus D. Hagspiel,John A. Kern,Ivan K. Crosby,Harry A. Wellons,Gary D. Hartwell,Alan H. Matsumoto +11 more
TL;DR: The SAFARI technique can be useful for completing subintimal recanalization when there is failure to reenter the distal true lumen from an antegrade approach or when there are limited segments of patent distal target artery available for reentry.
Journal ArticleDOI
Subintimal Angioplasty for Peripheral Arterial Occlusive Disease: A Systematic Review
Rosemarie Met,Krijn P. van Lienden,Mark J.W. Koelemay,Shandra Bipat,Dink A. Legemate,Jim A. Reekers +5 more
TL;DR: SA can play an important role in the treatment of peripheral arterial disease, especially in the case of critical limb ischemia, and despite the moderate patency rates after one year, SA may serve as a “temporary bypass” to provide wound healing and limb salvage.
Journal ArticleDOI
Systematic versus selective stent placement after superficial femoral artery balloon angioplasty: a multicenter prospective randomized study.
Jean-Pierre Becquemin,Jean-Pierre Favre,Jean Marzelle,Chantal Nemoz,Caroline Corsin,Alain Leizorovicz +5 more
TL;DR: Systematic stenting of short stenosis or occlusion of the superficial femoral artery is not justified and Palmaz vascular stent placement should be reserved for use in patients with suboptimal results of balloon angioplasty.
References
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Journal ArticleDOI
Percutaneous laser thermal angioplasty: initial results and 1-year follow-up in 129 femoropopliteal lesions.
TL;DR: The initial angiographic and clinical success, as well as the 1-year cumulative clinical patency, for stenoses and short occlusions after laser-assisted balloon angioplasty may be greater than after conventional balloon angyplasty alone.
Journal ArticleDOI
Long-segment femoropopliteal stenoses: is angioplasty a boon or a bust?
Robert R. Murray,R. C. Hewes,Robert I. White,Sally E. Mitchell,M. Auster,R Chang,Saadoon Kadir,M L Kinnison,Stephen L. Kaufman +8 more
TL;DR: Analysis of 193 femoropopliteal angioplasties demonstrated patency rates in the stenotic group of 75.5% at 6 months and 54.4% at 54 months, significantly better than those in patients with stenoses.
Journal ArticleDOI
Long-segment arterial occlusion: percutaneous transluminal angioplasty
TL;DR: Percutaneous transluminal angioplasty was used to recanalize long segments of occluded or stenotic femoropopliteal arteries in 21 patients and the initial success rate was 76%; the success rate on 5-24 month follow-up was 67%.
Journal Article
Percutaneous recanalization of total iliac and femoro-popliteal artery occlusions.
TL;DR: Eighty-five arterial occlusions have been treated by Percutaneous Transluminal Angioplasty (PTA) in 69 patients and the cumulative success rate was 22.2% and 65.6% for the iliac and femoro-popliteal obstructions respectively.