Percutaneous Profundaplasty in the Treatment of Lower Extremity Ischemia: Results of Long-term Surveillance

Abstract

These data suggest that percutaneous profundaplasty is safe, effective, and may be considered as an alternative to surgical therapy in patients with anatomically suitable lesions.

Endovascular treatment of common femoral artery obstructions

“…While the role of endovascular therapy of the aortoiliac segment 5,21 and of the superficial femoral and popliteal arteries [22][23][24] has been studied extensively within recent years, outcome data on surgical 2,4,6 and endovascular revascularization [9][10][11][12]25,26 approaches for CFA obstructions are limited to case reports 9,10 and comparatively smallsized clinical series. 3,11,12,27 Ballotta et al reported clinical outcomes after surgical CFA revascularization within a prospective trial in 117 patients (n ϭ 121 limbs; CLI, 39.7%).…”

Outcome After Endovascular Treatment of Deep Femoral Artery Stenosis:Results in a Consecutive Patient Series and Systematic Review of the Literature

“…Particularly in patients with claudication, a potential clinical benefit of this intervention has not been elucidated. The technical success rates for balloon angioplasty of the deep femoral artery vary in the literature between 77% and 100%, [13][14][15][16][17][18][19][20] depending on the definition of technical success. In the largest published series, Grun and Roth 20 reported a 77% technical success rate in 196 angioplasties.…”

Isolated Percutaneous Transluminal Angioplasty of the Profunda Femoris Artery for Limb Ischemia

“…These findings are consistent with those in 4 contemporary series from North America and Western Europe, with a total of 121 patients (123 limbs) reporting a technical success rate of 93% (114 of 123 limbs) and an amputation rate at 1 year ranging from 3.6% to 36%. 9,[11][12][13] Open surgical profundaplasty has long been recognized as a method of limb salvage in patients with CLI secondary to severe femoral and popliteal artery occlusive disease and who are deemed unsuitable for a femoral-distal bypass due to extensive comorbidities or lower limb integmenta necrosis/infection. Rollins et al and Savolainen et al report the two largest case series in the English literature.…”

“…In all, 17 (94%) ePFRs were technically successful and 1 (6%) was unsuccessful secondary to target vessel perforation. Seventeen stenosed vessels were treated by intraluminal angioplasty and 1 occluded PFA was recanalized in the subintimal plane (median [range] balloon diameter was 6 [4][5][6][7][8][9] mm, median [range] balloon length 40 [40-40] mm). One groin hematoma occurred and was successfully treated with pressure management.…”

“…[6][7][8][9][10][11][12][13] The aim of this study was to report the contemporary results of isolated ePFR and ePFR þ eFPR for SLI performed in a single United Kingdom tertiary referral center, with particular emphasis on limb salvage.…”