No abstract

In this series of patients with surgically confirmed PAES, we found preoperative DUS to have perfect agreement with the intraoperative findings in diagnosing PAES. The applicability of the method seems to be emphasized by the restoration of popliteal flow and relief of arterial insufficiency after surgical release in all patients, and by the fact, that none of the healthy volunteers were able to compress the popliteal artery during plantar flexion.

No abstract

related complication leading to readmission or reintervention within 30 days), 30-day mortality, estimated blood loss (EBL), use of blood transfusions, total operative and fluoroscopy time, and hospital and intensive care unit (ICU) stay. Patients with TPFA were compared to patients who needed SFA on one or both sides. Results: A total of 231 patients (mean age 75 years; males n¼165, 71%) were included in the study. TPFA was performed in 168 (73%) while SFA was performed in 68 (27%, 45 iliofemoral conduits). Technical success rate of TPFA was 93%, with 2 unilateral conversions for limb ischemia and 9 unilateral conversions for access bleeding. Nearly all conversions were on the side of the main body insertion (10/11). There were 9 access site complications at 30 days after TPFA (4 ischemia, 5 bleeding) and 56% were on the main body delivery side (5/9). Analysis of time trend of accessi site complications for TPFA did not reveal any sginificant difference (p¼.51). Despite more complex access, there were no differences in fluoroscopy time, 30-day mortality, as well as hospital sand ICU stay between TPFA and SFA groups. As expected,TPFA was associated with a shorter total operative time (229AE71 vs. 304AE85 minutes, p< .001), lower estimated blood loss (369AE453 vs. 731AE639 ml, p< .001), less use of blood transfusions (21% vs 37%, p¼.013), and reduced rates of 30-day access-related complications (6% vs 21%, p< .001) compared to SFA (Table). For TPFA, large sheath access time and total vessel access time on the main body side were limited to 120 (AE57) minutes and 145 (AE60) minutes respectively. Conclusion: Use TPFA for elective F-BEVAR can be safely and effectively performed with a high technical success rate in eligable patients with minimal large sheath time. When needed, SFA carries higher risk of peri-operative complications. Percutaneous access offers potential benefits and should be the preferred option for femoral access during elective F-BEVAR in patients with suitable arterial anatomy.

No abstract