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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2018 Jan 09

DOI: 10.23736/S0021-9509.18.10374-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Treating complex femoro-popliteal lesions

Rozemarijn J. van der VIJVER-COPPEN , Yannick W. 't MANNETJE, Theo P. MENTING, Jan-Willem LARDENOIJE, Michel M. REIJNEN

Vascular Sugery Department, Rijnstate Hospital, Arnhem, The Netherlands


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Peripheral artery disease affects 202 million patients worldwide and may cause disabling intermittent claudication and critical limb ischemia. Next to life style changes, best medical treatment and supervised exercise therapy, it can be necessary to re-vascularise the limb. Treatment of femoro-popliteal lesions poses a challenge and a surgical bypass remains recommended in the guidelines for longer and more complex lesions. Bypass surgery is associated with substantial morbidity and even mortality. Endovascular alternatives are quickly evolving from plain balloon angioplasty to drug-eluting stents, drug-coated balloons, polytetrafluoroethylene covered stents and atherectomy. These developments might challenge the gold standard in the near future. This article focuses on which technique can be used for which femoropopliteal lesion, particularly complex lesions, and summarizes the most recent and important literature on this topic.


KEY WORDS: Femoropopliteal - Endovascular treatment - Peripheral artery disease

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Publication History

Article first published online: January 9, 2018
Manuscript accepted: January 3, 2018
Manuscript received: December 13, 2017

Cite this article as

van der Vijver-Coppen RJ, 't Mannetje YW, Menting TP, Lardenoije JW, Reijnen MM. Treating complex femoro-popliteal lesions. J Cardiovasc Surg 2018 Jan 09. DOI: 10.23736/S0021-9509.18.10374-0

Corresponding author e-mail

rvandervijver@rijnstate.nl