Comparison of Long-Term Outcome After Endovascular Therapy Versus Bypass Surgery in Claudication Patients With Trans-Atlantic Inter-Society Consensus-II C and D Femoropopliteal Disease

Aihara, H.; Soga, Yoshimitsu; Mii, Shinsuke; Okazaki, Jin; Yamaoka, Terutoshi; Kamoi, Daisuke; Shintani, Yoshiaki; Ishikawa, Toshinobu

doi:10.1253/circj.cj-13-1147

Cited by 67 publications

(42 citation statements)

References 29 publications

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“…Recently, the popularity of EVT has spread due to the associated lower morbidity and mortality rates, shorter hospital stay, and quicker recovery to normal functional status compared with surgical revascularization. 20, 21 EVT for the CFA, however, has been abandoned due to its unique characteristics: CFA lesions are too bulky and highly calcified to treat with balloon angioplasty, and surgeons hesitate to implant the stent because of the theoretical risk of stent fracture, sacrifice of DFA or preclusion from the CFA puncture. Frequently, restenosis appears following EVT for the CFA: the 1-year restenosis rate is 15-28%.…”

Section: Kuma S Et Almentioning

confidence: 99%

Clinical Outcome of Surgical Endarterectomy for Common Femoral Artery Occlusive Disease

Kuma

Tanaka

Ohmine

et al. 2016

Circ J

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Section: Kuma S Et Almentioning

confidence: 99%

Clinical Outcome of Surgical Endarterectomy for Common Femoral Artery Occlusive Disease

Kuma

Tanaka

Ohmine

et al. 2016

Circ J

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“…However, since it has been recently reported that device and technical developments provide high recanalization rates 3) . Comparing with F -P bypass, in a recent report 1) , the Fig. 3C 82.1% and 69.4% in the bypass surgery and 67.8% and 45.2% in the EVT in claudication patients with TASC C and D, respectively.…”

Section: Discussionmentioning

confidence: 78%

“…We discussed with cardiovascular surgeons regarding indication of revascularization therapy. Comparing femoro -popliteal (F -P) bypass using the vascular graft, it has been reported that the initial success rate and secondary patency rate of EVT are close to F -P bypass 1) . Furthermore, the overall complication is higher in the F -P bypass than in EVT in claudication patients with Trans -Atlantic Inter -Society Consensus 44 Y. NAKAMURA et al…”

Section: Case Reportmentioning

confidence: 99%

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Successful Endovascular Treatment of Chronic Total Occlusion of Superficial Femoral Artery Using Retrograde Approach From Deep Femoral Artery

Nakamura

Komatsu

Masuda

et al. 2014

FJMS

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: An 82 years -old man with intermittent claudication was admitted to our hospital. Computed tomography angiography showed his right superficial femoral artery (SFA) was chronic total occlusion (CTO), and we performed endovascular treatment (EVT). We advanced a guidewire by contralateral transfemoral approach, but guide -wires could not penetrate the occluded SFA lesion antegradely. Thus, we tried to approach the CTO lesion retrogradely. A guide -wire passed through the collateral channel from deep femoral artery (DFA) to distal SFA. With a reverse -controlled antegrade and retrograde subintimal tracking (CART) technique, we were able to pass the CTO lesion. Finally two SMART stents were implanted. We experienced a case in which retrograde approach via collateral channel from DFA was effective to CTO of SFA.

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“…1) The primary success rate of EVT for SFA CTO has improved from 75% in 2001 2) to 81%-94% in 2014. 3) EVTs for SFA are generally managed by the antegrade approach, which uses a contralateral retrograde puncture or ipsilateral antegrade puncture of the common femoral artery. Alternatively, the popliteal approach is less frequently utilized.…”

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confidence: 99%

Popliteal Retrograde Approach is Effective and Safe for Superficial Femoral Artery Chronic Total Occlusion

Ueshima

Ashikaga

Shimura

et al. 2015

Annals of Vascular Diseases

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Objective: Endovascular treatment (EVT) using a popliteal approach is effective for superficial femoral artery (SFA) chronic total occlusion (CTO); however, its effectiveness, safety, and consequent complications are unclear. Materials and Methods:We studied 324 consecutive EVTs (in 187 patients) performed at three centers between April 2008 and March 2013, and selected all EVTs that included SFA CTO regions. A total of 91 EVTs (in 65 patients) were included and divided into two groups; "with popliteal approach" (WPA) and "without popliteal approach" (WOPA). Results: Despite higher rates of hypertension (WPA, 88.9% vs. WOPA, 69.1%; p = 0.04) and CTO length >200 mm (55.6% vs. 28.3%, respectively; p <0.01), the primary success rate was better in the WPA group (97.2% vs. 78.2%, respectively; p <0.01); however, both total complication rate and major complication rate were not significantly different. We compared popliteal puncture using a sheath and using a microcatheter alone. There were no significant differences between sheath and microcatheter use in terms of primary success rates (95.5% vs. 100%, respectively; p = 0.61) and puncture site complications (22.7% vs. 14.2%, respectively; p = 0.53). Conclusion: A popliteal approach improved the primary success rate of EVT for SFA CTO.Keywords: endovascular treatment, superficial femoral artery total occlusion, retrograde approach, popliteal puncture long, diffuse occlusions and/or long total occlusions, and it commonly requires endovascular treatment (EVT). 1) The primary success rate of EVT for SFA CTO has improved from 75% in 2001 2) to 81%-94% in 2014. 3) EVTs for SFA are generally managed by the antegrade approach, which uses a contralateral retrograde puncture or ipsilateral antegrade puncture of the common femoral artery. Alternatively, the popliteal approach is less frequently utilized. The popliteal approach, first reported by Tonnesen et al. 4) and initially performed with patients in a prone position, 5) has been associated with complications such as dissections, arterial ruptures, arteriovenous fistula, pseudoaneurysms, bleeding, and hematomas, 6,7) making it less popular than the antegrade approach. 8) Furthermore, to avoid changing a patient's position, popliteal puncture with patients lying in the supine position has been reported. 9) In addition, the use of lower-diameter puncture instruments, such as 3 Fr sheaths or microcatheters, instead of the conventional 4-6 Fr sheaths, has been attempted. 10,11) With the use of these modifying techniques, the aim is to reduce complications and the nuisance of popliteal puncture, and it has since gained popularity.This study investigates the effectiveness and safety of the popliteal retrograde approach for SFA CTO. We compared EVT with the popliteal approach and EVT without popliteal approach in terms of primary success rates and puncture site complications. Another purpose of this study was to clarify the type of complications occurring during EVT with and without the popliteal approach. Furthermore, we analyzed...

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Comparison of Long-Term Outcome After Endovascular Therapy Versus Bypass Surgery in Claudication Patients With Trans-Atlantic Inter-Society Consensus-II C and D Femoropopliteal Disease

Cited by 67 publications

References 29 publications

Clinical Outcome of Surgical Endarterectomy for Common Femoral Artery Occlusive Disease

Clinical Outcome of Surgical Endarterectomy for Common Femoral Artery Occlusive Disease

Successful Endovascular Treatment of Chronic Total Occlusion of Superficial Femoral Artery Using Retrograde Approach From Deep Femoral Artery

Popliteal Retrograde Approach is Effective and Safe for Superficial Femoral Artery Chronic Total Occlusion

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