Combined Antegrade Femoral Artery and Retrograde Popliteal Artery Recanalization for Chronic Occlusions of the Superficial Femoral Artery

Shi, Weihao; Yao, Ye; Wang, Wei; Yu, Bo; Wang, Song; Hua-fa, Que; Xiang, Huanyu; Li, Qiong; Zhao, Qiufeng; Zhang, Zhen; Xu, Jie; Liu, Xiaodong; Shen, Leyi; Xing, Jie; Wang, Yunfei; Shan, Wei; Zhou, Jie

doi:10.1016/j.jvir.2014.02.006

Cited by 15 publications

(6 citation statements)

References 13 publications

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“…Fourteen out of these 19 patients achieved adequate patency with balloon dilatation only and the authors reported a 6-month patency rate of 84.2%. Similarly, Shi, et al [11], used a dual antegraderetrograde approach in 21 patients and they achieved successful stent implantation in all patients. Although 6-month patency was 80% in this study, the one-year patency rate was as low as 42%.…”

Section: Discussionmentioning

confidence: 98%

Novel paclitaxel-coated balloon angioplasty via single retrograde popliteal access for challenging superficial femoral artery and iliac artery lesions?

Çetin¹,

Ünal²,

Keskin³

et al. 2019

J Cardiol Cardiovasc Med

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How to cite this article: Cetin E, Unal CS, Keskin A, Kartal H. Novel paclitaxel-coated balloon angioplasty via single retrograde popliteal access for challenging superfi cial femoral artery and iliac artery lesions.Results: Seventy-two patients (68.6%) had total SFA occlusion and 41 patients (39%) had concomitant external iliac artery involvement, out of whom 31 (29.5%) had total occlusion. Procedural success 90.5% for superfi cial femoral artery and 85.3% for external iliac artery. Oneyear patency rates in SFA and EIA were 84.8% and 80.4%, respectively Conclusion: Single retrograde popliteal access and drug-coated balloon angioplasty may offer a useful alternative to known modalities in treatment of challenging superfi cial femoral artery and concomitant iliac artery lesions.Novel paclitaxel-coated balloon angioplasty via single retrograde popliteal access for challenging superfi cial femoral artery and iliac artery lesions

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Section: Discussionmentioning

confidence: 98%

Novel paclitaxel-coated balloon angioplasty via single retrograde popliteal access for challenging superficial femoral artery and iliac artery lesions?

Çetin¹,

Ünal²,

Keskin³

et al. 2019

J Cardiol Cardiovasc Med

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“…Bailout procedures used for failed access was more in group (1) and included retrograde ipsilateral popliteal in 3 (10%) patients and ipsilateral transtibial in 2 (6.7%) patients. "Shi et al" evaluated the efficacy of a dual femoral-popliteal access in CTO of SFA in 21 cases and stated that flush occlusion of SFA presents a unique challenge, in which advance techniques such as retrograde recanalization from popliteal artery are increasingly being used [13].…”

Section: Discussionmentioning

confidence: 99%

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

El-Mabood

Elkashef

Hosny

et al. 2020

Egypt J Radiol Nucl Med

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Background: Though uncommon, complications of endovascular angioplasty and stenting may have devastating outcomes that can threaten limb and life. Adequate awareness of these complications will allow to achieve excellent clinical outcomes. Results: Endovascular intervention was successful in treatment of most of distal SFA complications with limited use in flush ostial complications; residual stenosis ≥ 30%, flow-limiting dissection, perforation or rupture; 100% in group (2) vs 50% in group (1) but thrombosis; 75% of distal SFA lesions were treated endovascularly vs 40% of flush ostial lesions; X 2 = 12.7, P = 0.02. Emergency surgery as a bailout was used for most ostial lesion complications: residual stenosis ≥ 30%, flow-limiting dissection, and perforation or rupture; 50% in group (1) vs 0% in group (2); X 2 = 20.1, P = 0.01. Conclusion: Bailout procedures are procedures used to save the limb or the patient. Evolving endovascular strategies embrace new technologies in an attempt to improve the safety and efficacy of revascularization procedures for lower extremity arterial occlusive disease.

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“…2 Endovascular revascularization of a flush blockage involving the ostium of the superficial femoral artery (SFA) provides a unique difficulty, requiring advanced methods such as retrograde recanalization from the popliteal artery. 3 Owing to a lack of working length distal to the tip of the access sheath, the ipsilateral CFA cannot be used as an access due to ostial lesions of the superficial femoral artery (SFA). The most popular alternate techniques are retrograde contralateral CFA and trans-brachial CFA.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Ipsilateral Antegrade Techniques for Endovascular Treatment of Ostial Superficial Femoral Artery Lesions

AlBealy

Eweda²,

Abdelhafez³

2022

Al-Azhar International Medical Journal

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Background:The most prevalent cause of intermittent claudication is peripheral arterial disease (PAD) of the superficial femoral artery (SFA).The SFA is a target of atherosclerotic disease predominantly in the distal section in the region of Hunter's canal where the adductor muscles tend to compress the artery and in the proximal section near the bifurcation to the deep femoral artery. Aim of the study: In patients with persistent lower limb ischemia, to determine the feasibility, adequacy, safety, and consequences of an ipsilateral antegrade approach in the event of superficial femoral artery ostial lesions. Patients and Methods: Between August 2019 and August 2021, 30 patients with peripheral arterial occlusive disease were included in this prospective cohort research at Al-Azhar University Hospitals (Al-Hussain and Bab-Alsheryah) (affecting ostium of the superficial femoral artery). Results: The most frequent extension of the lesion was SFA CTO total length till the adductor canal (36.7%), followed by proximal 1/3 SFA tight stenosis extending into middle 1/3 of SFA (26.7%), proximal SFA CTO extending into middle 1/3 of SFA (20%), and proximal 1/3 SFA tight stenosis (16.7%). Most patients showed technical success (80%), and most of them (79.2%) had endo-luminal wire passage. The most frequent type of passage in failure cases was contralateral antegrade (50%), followed by trans brachial antegrade (33.3%) and popliteal ipsilateral retrograde (16.7%). Conclusion: Endovascular therapy (EVT) in ostial and near ostial SFA occlusive lesions with ipsilateral antegrade access through common femoral artery puncture is a feasible and effective approach.

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Combined Antegrade Femoral Artery and Retrograde Popliteal Artery Recanalization for Chronic Occlusions of the Superficial Femoral Artery

Cited by 15 publications

References 13 publications

Novel paclitaxel-coated balloon angioplasty via single retrograde popliteal access for challenging superficial femoral artery and iliac artery lesions?

Novel paclitaxel-coated balloon angioplasty via single retrograde popliteal access for challenging superficial femoral artery and iliac artery lesions?

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

Evaluation of Ipsilateral Antegrade Techniques for Endovascular Treatment of Ostial Superficial Femoral Artery Lesions

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