Home > Journals > Italian Journal of Vascular and Endovascular Surgery > Past Issues > Italian Journal of Vascular and Endovascular Surgery 2019 March;26(1) > Italian Journal of Vascular and Endovascular Surgery 2019 March;26(1):22-32

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE   

Italian Journal of Vascular and Endovascular Surgery 2019 March;26(1):22-32

DOI: 10.23736/S1824-4777.18.01368-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Endovascular intervention in flush superficial femoral artery occlusive disease: challenges and outcome

Baker GHONEIM , Sayed YOUNIS, Hossam ELMAHDY, Hussein ELWAN, Hussein KHAIRY

Department of Vascular Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt



BACKGROUND: The aim of this study was to assess the challenges of endovascular treatment of flush superficial femoral artery (SFA) with assessment of the outcome.
METHODS: This is a prospective study that included 43 patients with atherosclerotic flush occlusion of the superficial femoral artery and critical limb ischemia (CLI). Acute limb ischemia and renal patients were excluded from the study.
RESULTS: The study included 43 patients with the mean age 62 years. Male to female ratio was 3:1. 63% of the patients was presented with Rutherford IV. Contralateral femoral access was used alone in 86% of the patients, while used combined with ipsilateral femoral access in 4.7% of the patients and retrograde popliteal access in 9.3% of the patients. 53.4% of the lesion was crossed subintimally. Selective stenting was done in 73% of cases. Technical success was achieved in 76.7% cases. The overall technical success rate is 93%. Mortality rate was 7%. Twelve-month primary and secondary patency rate were 58% and 64%, respectively. Twelve-month limb salvage rate was 76%.
CONCLUSIONS: Endovascular interventions can be safely used in the treatment of flush superficial femoral artery occlusion in patients with critical limb ischemia with acceptable technical success, short term patency rates, and limb salvage. Failure of well conducted endovascular interventions did not preclude subsequent surgery. Adoption of transpopliteal access in cases of flush SFA occlusion is associated with high rate of technical success and can be done under fluoroscopic or ultrasound guidance.


KEY WORDS: Angioplasty - Stents - Femoral artery

top of page