Open Subintimal Angioplasty of the Superficial Femoral and Distal Arteries

P, Balas; Pangratis, Nicolas; Ioannou, Nikos; Milas, Photis; Klonaris, Chris; Masouridou, Efi

doi:10.1583/1545-1550(2000)007<0068:osaots>2.3.co;2

Cited by 13 publications

(9 citation statements)

References 2 publications

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“…15 From 1994 until today, there have been several publications from other institutions confirming the value of the PIER technique. [16][17][18][19][20][21][22] The publication by Ingle et al 23 in this issue reaffirms that patients with chronic lower leg ischemia are to be treated with this technique as a first choice. A cumulative limb salvage rate of 94% at 36 months after a technical success of 86% is better than any surgical techniques we have to offer these patients.…”

mentioning

confidence: 87%

Percutaneous Intentional Extraluminal (Subintimal) Revascularization (PIER) for Critical Lower Limb Ischemia: Too Good to Be True?

Reekers

2002

J Endovasc Ther

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mentioning

confidence: 87%

Percutaneous Intentional Extraluminal (Subintimal) Revascularization (PIER) for Critical Lower Limb Ischemia: Too Good to Be True?

Reekers

2002

J Endovasc Ther

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“…Poor peripheral runoff is also associated with poorer long-term results. Long-term patency rates of 30% in limbs with poor runoff, versus 52% with good runoff [20].…”

Section: Discussionmentioning

confidence: 99%

Transluminal versus Subintimal Angioplasty for Management of Critical Limb Ischemia Patients with Femoropopliteal Occlusive Disease

Foad¹,

Eldaly²,

Eldin³

et al. 2015

J Health Edu Res Dev

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AimComparison between intraluminal and subintimal angioplasty with review of technique, factors affecting the success and complications with special emphasis on factors that could predict the wire route meanwhile using simple techniques. MethodsThis is a non-randomized study with prospectively collected data that included 159 patients presented from 2011 to 2014 to the vascular surgery department with critical chronic lower limb ischemia due to atherosclerotic femoropopliteal occlusive disease for whom percutaneous angioplasty was done. Patients presenting with nonsalvageable limbs requiring primary major amputation and non-atherosclerotic causes of CLI were excluded. Results 75.5% of the lesionswere crossed transluminally while 19.5% of the lesions were crossed subintimally. In 8 cases (5%) the lesion could not be passed. The overall technical success to pass the lesion was 95%. On 24 months follow up, 1ry patency, 2ry patency, limb salvage in intraluminal group are 56.8%, 60.2% and 66.1% respectively while in subintimal group 46.7%, 46.7% and 60% respectively. Subintimal was more in the TASC D, lesion more than 10 cm and in contralateral access (P value was<0.05). There were no statistically significant differences between intraluminal and subintimal angioplasty regarding the outcome (Patency and limb salvage). ConclusionsThe passage of the wire is affected by length of the lesion, the TASC II classification of the lesion and access site with the subintimal passage was more in Lesion more than 10 cm, TASC D lesions and in contralateral access. These factors can be used prospectively as predictors for passage of the wire whether intraluminal or subintimal. In spite of the technical differences between the intraluminal and subintimal passage, yet they show no significant statistical differences regarding the outcome (patency and limb salvage). Hence both should be used as part of vascular armamentarium for revascularization in such frail patients.

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“…introduced to deal with this problem. A relatively inexpensive angioplasty can easily be converted into an expensive procedure when distal stents are added, 60 open subintimal angioplasty is performed, 64 or different re-entry devices are used for the intervention.…”

Section: Subintimal Angioplastymentioning

confidence: 99%

Advances in Endovascular Treatment of Femoropopliteal Arterial Occlusive Disease

Klonaris¹,

Katsargyris²,

Γιαννόπουλος³

et al. 2006

Perspectives in Vascular Surgery and Endovascular Therapy

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Over the past decade, accumulated experience and considerable advances in percutaneous endovascular techniques have enabled their use with increasing frequency for the management of peripheral arterial occlusive disease. However, despite the established role of endoluminal approaches in many other arterial territories, their application for the treatment of femoropopliteal occlusive disease is still debatable due to unique unfavorable anatomical, functional, and flow characteristics of this area. Conventional balloon angioplasty in the femoral and popliteal arteries is frequently associated with suboptimal results and high restenosis rates. To overcome these limitations, emerging approaches have been introduced or are currently under investigation. These include angioplasty modifications, newer concepts in stent design, adjunctive pharmacotherapy, debulking devices, and the application of gamma radiation and freezing in an attempt to reduce intimal hyperplastic response and consequently to expand the application of minimal invasive techniques in the hostile femoropopliteal environment. This review article will present the current status and future trends of endovascular therapy of femoropopliteal artery occlusive disease.

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Open Subintimal Angioplasty of the Superficial Femoral and Distal Arteries

Abstract: Open subintimal angioplasty is a simple, minimally invasive alternative treatment for complete SFA occlusion. Long-term follow-up in a large group of patients will be necessary to determine the durability of the false arterial lumen.

Cited by 13 publications

References 2 publications

Percutaneous Intentional Extraluminal (Subintimal) Revascularization (PIER) for Critical Lower Limb Ischemia: Too Good to Be True?

Percutaneous Intentional Extraluminal (Subintimal) Revascularization (PIER) for Critical Lower Limb Ischemia: Too Good to Be True?

Transluminal versus Subintimal Angioplasty for Management of Critical Limb Ischemia Patients with Femoropopliteal Occlusive Disease

Advances in Endovascular Treatment of Femoropopliteal Arterial Occlusive Disease

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