Percutaneous Reconstruction Techniques: Popliteal Artery Approach for Chronic Total Occlusion of Superficial Femoral and Iliac Arteries
Journal Title: E Journal of Cardiovascular Medicine - Year 2020, Vol 8, Issue 3
Abstract
Objectives: Femoropopliteal artery disease (FPAD) is the most common form of peripheral artery disease. Popliteal artery (PA) puncture enables the use of low-profile sheaths and devices and may be an alternative to the antegrade ipsilateral approach in its treatment. We mainly aimed to discuss the PA retrograde approach with the endovascular treatment (EVT) strategy in FPAD. Materials and Methods: Twenty patients who underwent EVT with retrograde popliteal approach in superficial femoral artery or PA disease were included in this retrospective study. The decision for retrograde approach was made according to the results of computerized tomography or magnetic resonance angiography. All patients underwent color Doppler ultrasonography at the first and sixth months after intervention. The frequency of procedural complications (hematoma, bleeding, and distal embolism) was recorded. Results: Technical success was achieved in all patients. No transfusions or additional surgical treatments were required in any case. Acute success rate was determined as 100% blood flow rate assessed by angiography. The patency rates in treated arteries were recorded by ultrasonographic evaluation in the first and sixth months of the post-operative period. Conclusion: Preoperative evaluation and planning are crucial for the success of interventions in peripheral artery disease. An alternative plan and access site should always be available to ensure success in complex procedures. In light of our findings, retrograde PA puncture can be used safely and effectively in the recanalization of superficial femoral artery and PA stenosis.
Authors and Affiliations
Emced Khalil
Keywords
Related Articles
- EP ID EP688633
- DOI 10.32596/ejcm.galenos.2020.07.035
- Views 104
- Downloads 0
Retrospective Analysis of the Experience in Diagnostics and Surgical Treatment of Rare Cardiac Tumors-Lipomas
The aim of this study is to determine the optimal treatment tactics for cardiac lipomas by performing a retrospective analysis of the features of the clinical course, diagnostics and specifics of surgery for this patholo...
Evaluation of Ventricular Polarization in Noncompaction Cardiomyopathy with Electrocardiography in a Different Perspective
Objectives: Noncompaction cardiomyopathy (NCCM) is a rare genetic form of cardiomyopathy. Morphologically, it consists of a thickened two-layer myocardial structure (noncompacted-compacted layers.). In NCCM, especially i...
Long-term Efficacy and Safety of Cardioneuroablation in Patients with Vagally Mediated Bradyarrhythmias
Objectives: Long-term efficacy and safety are still uncertain in patients with vagally mediated bradyarrhythmias (VMB) undergoing cardioneuroablation (CNA). Thus, we assessed the outcome of CNA in those patients during l...
Atrial Fibrillation, Heart Failure with Impaired Ejection Fraction and Natriuretic Peptides
Objectives: Atrial fibrillation (AF) is frequent in clinical practice and its relationship with heart failure (HF) is well known. The present study investigated clinical and biochemical characteristics and N-terminal pro...
Aortic Stiffness Index and Aortic Distensibility Measured by Echocardiography May Help to Improve the Equivocal Results of Myocardial Perfusion Scintigraphy
Objectives: Myocardial perfusion scintigraphy (MPS) is a well-established method for diagnosing coronary artery disease and risk stratification of individuals with chest pain. However, while MPS has high sensitivity and...