Retrograde Transpopliteal Access Is Safe and Effective—It Should Be Added to the Vascular Surgeon's Portfolio

Younes, Houssam K.; El-Sayed, Hosam F.

doi:10.1016/j.avsg.2014.10.013

Cited by 14 publications

(5 citation statements)

References 9 publications

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“…Finally, Fanelli et al 10 reported primary patency of 80.7% at 6 months and 76.9% at 12 months. One-year amputation-free survival reported by Younes et al 20 and Sangiorgi et al 9 was 100%. Although a large range for primary patency at 1 year exists in the literature, RPA access for treatment of lesions has long-term benefits as indicated by amputation-free survival.…”

Section: Discussionmentioning

confidence: 88%

Retrograde popliteal access to treat femoropopliteal artery occlusive disease

Komshian

Cheng

Farber

et al. 2018

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 88%

Retrograde popliteal access to treat femoropopliteal artery occlusive disease

Komshian

Cheng

Farber

et al. 2018

Journal of Vascular Surgery

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“…There are publications reporting a patency rate of 100% at the 1 st month after the procedure in patients who underwent revascularization with the same method [3]. In another study of 16 patients who underwent endovascular revascularization with the RPA technique for occlusive SFA disease, it was reported that the access was successful in all cases, the success rate was 94%, one uncomplicated perforation occurred, the limb salvage rate was 100%, and no local site complications occurred [28]. Consistent with the literature, in our study, 100% lesion crossing success was achieved (via the endoluminal route) with the RPA technique, and successful endovascular revascularization was performed in all cases with a lesion crossing and no access site complications occurred.…”

Section: Discussionmentioning

confidence: 97%

Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease

Yilmaz,

Kızıltan,

Kalender

et al. 2023

pwki

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Introduction: Even though it has been reported that femoropopliteal artery endovascular revascularization is often performed with antegrade femoral artery interventions, which are technically relatively challenging, having the advantage of better control, it has also been reported that recanalization failure may occur in approximately 20% of patients and some materials have been developed for this reason.Aim: To evaluate the safety of retrograde popliteal artery intervention and our procedural success rate for symptomatic femoropopliteal artery occlusive disease.Material and methods: A total of 95 endovascular revascularization procedures were performed for treating symptomatic occlusive peripheral artery disease in the study period. Inclusion criteria were defined as patients who underwent endovascular revascularization procedures for symptomatic femoropopliteal artery occlusive disease. Patients who underwent a percutaneous endovascular procedure for iliac artery or below-knee arterial occlusive disease in the same session and patients who had previously undergone peripheral arterial bypass grafting or endovascular treatment for existing femoropopliteal artery disease were excluded.Results: We evaluated 45 peripheral endovascular procedures performed on 39 patients with a mean age of 62.49 ±11.38 years in our hospital for chronic femoropopliteal artery occlusive disease. Twelve (26.7%) of the endovascular treatment procedures were performed with retrograde access through the popliteal artery (Group 2). In neither group were any complications of arterial rupture, distal embolism, early thrombosis, or pseudoaneurysms observed.Conclusions: We are of the opinion that the retrograde popliteal artery technique is an effective and safe intervention option in endovascular revascularization, particularly in the revascularization of the long segment and complex femoropopliteal artery occlusions.

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“…In this sense, we took advantage of a percutaneous retrograde recanalization technique for femoropopliteal CTOs, which, depending on the morphology and composition of the plaque, 16 can favour the technical success of the EVT, 17 , 18 but as such, it is still subject to comparison with BP surgery in the most challenging cases, especially in the scenario of CLTI.…”

Section: Discussionmentioning

confidence: 99%

Trans-popliteal hybrid retrograde technique for revascularization of chronic total occlusions of the superficial femoral artery

et al. 2020

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Objectives We present the technical description and preliminary results of a hybrid approach for the treatment of chronic total occlusions of superficial femoral artery in the setting of critical limb-threatening ischemia (CLTI). Methods A retrospective analysis of selected case series was performed. A trans-popliteal hybrid technique was carried out in seven limbs (six patients). Open exposure of above-the-knee popliteal artery was performed over its maximum calcification zone. After retrograde recanalization and graft-stenting of the entire superficial femoral artery, endarterectomy of the popliteal artery was performed for debulking and widening of the distal landing zone of the endoprosthesis. The latter is included in the bovine patch suture to avoid leaving a segment untreated. Results Technical success, haemodynamic and clinical improvement were achieved in all procedures. Median length of treated occlusion was 19.8 cm. After a mean follow-up of 12 months (range 6–26 months), the primary patency was 85.7% (only one asymptomatic occlusion occurred). There were no major cardiovascular or limb adverse events. No re-interventions were required. Conclusion This less-invasive, one-incision technique is safe and effective for the restoration of in-line flow from groin to ankle, currently recommended in CLTI revascularization. It could be especially useful in highly calcified popliteal artery lesions, hostile groins or those at high risk of infection and in cases of vein absence for bypass surgery.

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Retrograde Transpopliteal Access Is Safe and Effective—It Should Be Added to the Vascular Surgeon's Portfolio

Cited by 14 publications

References 9 publications

Retrograde popliteal access to treat femoropopliteal artery occlusive disease

Retrograde popliteal access to treat femoropopliteal artery occlusive disease

Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease

Trans-popliteal hybrid retrograde technique for revascularization of chronic total occlusions of the superficial femoral artery

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