Ipsilateral Antegrade Angioplasty for Flush Superficial Femoral Artery Occlusion versus Open Bypass Surgery

Eleissawy, Mohamed I.; El‐Barbary, A. A.; Elwagih, Mohammed M.; Elheniedy, Mohamed A.; Santoso, Charista; Fourneau, Inge

doi:10.1016/j.avsg.2019.05.062

Cited by 8 publications

(16 citation statements)

References 23 publications

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“…Hypertension was found in 58% of included subjects, DM represented 90%, dyslipidemia reached 64%, 72% were smokers and 8% suffered from cardiac diseases. Different to our study in Eleissawy et al (13) , hypertension was found in 80% of subjects, DM represented 44%, 44% were smokers. Many patients (48%) suffered from cardiac diseases.…”

Section: Discussioncontrasting

confidence: 99%

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Ipsilateral Retrograde Balloon Angioplasty of Flush Lesions of Superficial Femoral Artery Occlusion

Fatah¹,

Mahdy²

2021

The Egyptian Journal of Hospital Medicine

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Background: For almost 50 years, endovascular treatment has been used to treat chronic limb ischemia. The retrograde contralateral "crossover," antegrade ipsilateral, or retrograde popliteal techniques may be used to treat superficial femoral artery occlusions. There were early drawbacks to the retrograde technique, thus it was used as an emergency alternative. Objective: This study aimed to investigate efficacy and safety of ipsilateral retrograde balloon angioplasty for flush lesions of superficial arterial blockage. Patients and methods: This prospective cohort study was carried out at Sayed Galal Hospital and Al-Hussein Hospital through the period from August 2018 to August 2021. This study included 50 individuals with peripheral arterial disease (PAD). Interventional study was conducted on flush lesions of superficial femoral artery occlusion. Results: A significant difference between patients who achieved patency and who did not achieve patency )regarding BMI, dyslipidemia, cardiac diseases and postoperative ABI). Conclusion: Retrograde balloon angioplasty of flush lesions is a reliable procedure for superficial femoral artery occlusion handling with relatively low rate of complications.

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Section: Discussioncontrasting

confidence: 99%

“…Males made up 58% of the population, while females made up 42%. These findings are close to a recent study by Eleissawy et al (13) as mean BMI was 24.5 kg/m 2 and males represented 76%. Mean age was more than our results as it was 72 years with SD of 7.5.…”

Section: Discussionsupporting

confidence: 92%

Ipsilateral Retrograde Balloon Angioplasty of Flush Lesions of Superficial Femoral Artery Occlusion

Fatah¹,

Mahdy²

2021

The Egyptian Journal of Hospital Medicine

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“…The findings of the current study which was in accordance with El-Maadawy et al 9 who stated that Ipsilateral antegrade (tunneled novel) is a safe, simple, and repeatable procedure. Except for the necessity for careful identification of both radiological and anatomical landmarks, the technical demands are similar to those for performing established antegrade punctures.…”

Section: Discussionsupporting

confidence: 92%

“…In the present study of 30 patients, 21 of them were males (70%) and 9 females (30%) (p value = 1) and Rutherford category 4 (30%) , 5 (40%) and 6 (30%) (p value 0.616) which was in accordance with Ghani et al 8 who stated that the males 14 out of 16 patients were more affected than females which represent only 2 patients. However, in the study of El-Maadawy et al 9 they were 17 patients with frequency of gender, 11 were males and 6 were females and Rutherford (3 to 5),from the above mentioned data, males were majority and This might indicate that gender is a considerable risk factor. 10 Most of patients in the present study ranged in age from 44 to 68 years (56 ±8 years ) with p value (0.796) and this result was in agreement with Ghani et al 8 who stated that the median age of patients included in their research was 65.4 years (ranged from 60-71 years.…”

Section: Discussionmentioning

confidence: 89%

“…10 Most of patients in the present study ranged in age from 44 to 68 years (56 ±8 years ) with p value (0.796) and this result was in agreement with Ghani et al 8 who stated that the median age of patients included in their research was 65.4 years (ranged from 60-71 years. However, in the study of El-Maadawy et al 9 the age of patients ranged from 48-85 years with a mean of 63.2 years.…”

Section: Discussionmentioning

confidence: 96%

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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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Vascular reconstruction using autologous vs synthetic graft for patients with extremity soft‐tissue sarcoma involving the major vessels

Mlees

El‐Barbary

Sallam

2019

Journal of Surgical Oncology

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ObjectiveArterial reconstruction after radical limb‐sparing resection of extremity soft‐tissue sarcoma (STS) involving great vessels is necessary. However, there is no agreement upon the optimal vascular substitute. This study prospectively evaluated the major vascular reconstructions in extremity STS surgery with vascular involvement.Patients and MethodsBetween June 2017 and August 2019, 29 patients having extremity STS with major vascular reconstruction were enrolled. Recurrent, metastatic STSs or STSs of vascular origin were excluded. Patients were non‐randomly divided into two groups according to the type of arterial substitute: group I, autologous graft (16 patients) and group II, synthetic graft (13 patients). Graft patency, postoperative morbidity, and patient and limb survival were analyzed.ResultsThe mean follow‐up was 12 months (range, 6‐26). Early postoperative complications and overall survival were nonsignificantly different between groups. The 1‐year primary patency was 92.85% vs 90% in groups I vs II, respectively, P = .704. Graft occlusion was nonsignificantly greater in the synthetic group, P = .107. Limb salvage was 93.75% in group I compared with 92.3% in group II, P = .87.ConclusionsGraft choice should be based on autologous vein suitability regarding its length and caliber. If such requirements are not available, synthetic substitutes can be used with close surveillance of patency.

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Ipsilateral Antegrade Angioplasty for Flush Superficial Femoral Artery Occlusion versus Open Bypass Surgery

Cited by 8 publications

References 23 publications

Ipsilateral Retrograde Balloon Angioplasty of Flush Lesions of Superficial Femoral Artery Occlusion

Ipsilateral Retrograde Balloon Angioplasty of Flush Lesions of Superficial Femoral Artery Occlusion

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

Vascular reconstruction using autologous vs synthetic graft for patients with extremity soft‐tissue sarcoma involving the major vessels

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