Bailout procedures during percutaneous transluminal angioplasty of superficial femoral artery occlusive disease

El-Mabood, El-Sayed Afifi Abd; Elkashef, Omar Ahmed; Hosny, Ahmed; Zaghloul, Hossam

doi:10.1186/s43055-020-00160-y

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…In the existing literature, dissection has been consistently documented as the prevailing complication associated with endovascular procedures. [9,10] Remarkably, our study's observed incidence of dissection, which aligns with this trend, corroborates the literature's findings. The SFA became the primary site of dissection, with balloon intervention emerging as the prevailing approach.…”

Section: Discussionsupporting

confidence: 92%

Alt Ekstremite Periferik Arter Hastalığında Endovasküler Girişimlerden Kaynaklanan Akut Komplikasyonların Cerrahi Yönetimi: Eskimeyen Yeni

ÇİÇEK,

DAĞLI,

BAYSAL

et al. 2023

Journal of Contemporary Medicine

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Aim: The importance of endovascular procedures in the diagnosis and treatment of peripheral vascular diseases has seen a notable rise in recent years. Nevertheless, this surge has resulted in a corresponding rise in iatrogenic vascular complications and subsequent interventions associated with peripheral endovascular procedures. This study involved a retrospective evaluation of acute complications associated with endovascular treatments performed for lower limb peripheral artery diseases, as well as a closer look of the related therapeutic strategies for these challenges. Materials and Methods: A retrospective evaluation was conducted on a cohort of 400 patients who received endovascular intervention for lower extremity peripheral artery disease at our clinic. The study included 27 patients (6.7%) from this cohort who received surgical or endovascular treatment for acute complications following endovascular intervention. Our preference for endovascular or surgical treatments was chosen based on the type and localization of the complications. Results: The mean age of patients who experienced complications was 63.7±6 years. The complications were as follows in order of frequency: dissection 14 (51.9%) patients, arterial perforation 5 (18.5%) patients, major hematoma 3 (11.1%) patients, pseudoaneurysm 2 (7.4%) patients, distal embolism 2 (7.4%) patients and arterio-venous fistula 1 (3.7%) patient. In the treatment of complications, endovascular methods were preferred in 19 (4.7%) patients and surgical approaches were used in 8 (2%) patients. Following endovascular intervention, minor amputation was performed in one patient. Conclusion: The rapid and effective management of complications related to peripheral endovascular procedures in the lower extremities is of utmost importance. Despite the notable advancements in endovascular procedures in recent years, there are scenarios where these interventions may be insufficient for dealing with complications. The management of such problems may necessitate surgical intervention. Hence, the integration of well-established and validated vascular surgical techniques with endovascular interventions is believed to yield optimal outcomes.

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Section: Discussionsupporting

confidence: 92%

Alt Ekstremite Periferik Arter Hastalığında Endovasküler Girişimlerden Kaynaklanan Akut Komplikasyonların Cerrahi Yönetimi: Eskimeyen Yeni

ÇİÇEK,

DAĞLI,

BAYSAL

et al. 2023

Journal of Contemporary Medicine

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“…In Abd El-mabood et al 2017. 7 ; flow limiting dissection was 60%, Thrombosis 56.7%, Residual stenosis 43.3%, perforation 30% of cases and equipment failure in 13%, but elkashef study was conducted on SFA lesions only and for patient with morphological lesion TASC A and B only. In Siracause 2017.…”

Section: Resultsmentioning

confidence: 99%

Management of critical situations during percutaneous transluminal angioplasty of lower limb ischemia

zaied

Sharaby²,

Zakaria³

2020

Al-Azhar International Medical Journal

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Background: Percutaneous transluminal angioplasty (PTA) has become the first-line option in the treatment of lower limb ischemia.Objective: is to evaluate the management procedures during percutaneous transluminal angioplasty of lower limb ischemia Patient and Methods: Sixty five patients with manifestations of lower limb ischemia underwent for percutaneous transluminal angioplasty and had developed critical situations during the procedure. In the vascular surgery departments in Al-Hussein university hospital and Agouza police from March 2018 to March 2020.Results: Study on 65 patients showed that; they developed 67 complications. Complications reported were; Dissection in 35 cases (53.8%), Perforation in 20 cases (30.8%), Thrombosis in 6 cases (9.2%). While in 4 cases (6.2%) Arterio-venous fistula has developed and in 2 cases (3.1%) there was a residual stenosis.Most of cases were managed by endovascular approach in 61 cases (93.8%) but 4 cases (6.2%) were managed by surgical methods.Most of cases had saved their limbs and avoided major amputations unless two cases were gone for major amputations. There was no immediate mortality. Conclusion:Critical situations during endovascular interventions are affected by risk factors, clinical presentation, morphological lesion and type of intervention. Most of cases could be managed by endovascular procedures.

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Starting a Vascular Surgery Fellowship at a Rural Healthcare Center

Sundaram

Sampson

Marica

et al. 2023

Journal of Surgical Research

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Bailout procedures during percutaneous transluminal angioplasty of superficial femoral artery occlusive disease

Cited by 4 publications

References 17 publications

Alt Ekstremite Periferik Arter Hastalığında Endovasküler Girişimlerden Kaynaklanan Akut Komplikasyonların Cerrahi Yönetimi: Eskimeyen Yeni

Alt Ekstremite Periferik Arter Hastalığında Endovasküler Girişimlerden Kaynaklanan Akut Komplikasyonların Cerrahi Yönetimi: Eskimeyen Yeni

Management of critical situations during percutaneous transluminal angioplasty of lower limb ischemia

Starting a Vascular Surgery Fellowship at a Rural Healthcare Center

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