Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
Year : 2016  |  Volume : 35  |  Issue : 4  |  Page : 414-420

Endovascular interventions for long occlusive disease of the superficial femoral artery in critical limb ischemia

Department of Vascular Surgery, Assiut University Hospital, Assiut University, Assiut, Egypt

Correspondence Address:
Mahmoud Saleh
Department of Vascular Surgery, Assiut University Hospital, Assiut University, Assiut
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-1121.194744

Rights and Permissions

Background The real challenges for the treatment of femoropopliteal disease are long and chronic total occlusions. These lesions continue to represent a major challenge for currently available endovascular approaches. The aim of this study was to evaluate the outcomes of an endovascular intervention for Transatlantic Intersociety Consensus (TASC)-II C and D femoropopliteal disease. Patients and methods Sixty-four patients, including 16 patients with TASC-C and 48 patients with TASC-D lesions, underwent an endovascular intervention for femoropopliteal lesions between January 2014 and December 2014. Patients’ demographics and preprocedure and postprocedure ankle brachial indices were analyzed. The outcomes of our study were primary patency, periprocedural complications, and limb salvage. Results Our cohort included 41 (64%) men and 23 (36%) women. Twenty-one (33%) patients had rest pain and 43 (67%) patients presented with tissue loss. All patients underwent initial balloon angioplasty of occluded arterial segments, with a technical success achieved in 58 (91%) patients. Nitinol stents were used in 15 (26%) patients. Eight (14%) patients developed periprocedural complications. Primary patency rates were 96.6, 89.7, 80.9, and 62.1% at 1, 3, 6, and 12 months, respectively. Univariate analysis of sex, risk factors, Rutherford staging, and TASC-II lesion could not find any statistically significant effect on the 1-year primary patency rate in the current study. Conclusion Our experience showed the benefficial results of an endovascular intervention for TASC-II C and D lesions with good acceptable early-term and medium-term patency and limb salvage rates.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded107    
    Comments [Add]    

Recommend this journal