Subintimal angioplasty of femoropopliteal artery occlusions: The long-term results

London, N.J.M.; Srinivasan, R.; Naylor, A.R.; Hartshorne, T.; Ratliff, D. A.; Bell, P. R. F.; Bolia, A.

doi:10.1016/s0950-821x(05)80450-5

Cited by 216 publications

(156 citation statements)

References 18 publications

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“…This technique is a good option in the case of a short superficial femoral artery (SFa) obstructions, but since the first experience of Bolia et al [6], the subintimal technique is often preferred, especially in long occlusions (>5 cm), because of the poor patency of the intraluminal revascularization [7][8][9].…”

mentioning

confidence: 99%

The “Safari” Technique to Perform Difficult Subintimal Infragenicular Vessels

Gandini

Pipitone

Stefanini

et al. 2007

Cardiovasc Intervent Radiol

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The purpose of this study was to describe the efficacy of planned combined subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) to obtain the precise recanalization of the patent portion of a distal runoff vessel in critical limb ischemia (CLI) patients presenting long occlusions involving the popliteal trifurcation. Four patients at risk of limb loss due to long occlusions involving the leg vessel tree and not suitable for a surgical bypass were treated by the subintimal antegrade and retrograde (posterior tibial or anterior tibial artery) approach. The patent portion of the runoff vessel was previously assessed by magnetic resonance angiography (MRA) and directly punctured under Doppler ultrasound (US) guidance. A subintimal channel rendezvous was performed to allow snaring of the guidewires. Subsequently, a balloon dilatation was performed without stent deployment. All patients were successfully recanalized and had complete healing of the limb lesions. At the 12-month follow-up all patients showed clinical improvement with no major complications related to the procedure. This combined antegrade and retrograde subintimal approach is currently an excellent endovascular option in patients with long occlusions extending onto the leg vessels trifurcation and at risk of limb loss.

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mentioning

confidence: 99%

The “Safari” Technique to Perform Difficult Subintimal Infragenicular Vessels

Gandini

Pipitone

Stefanini

et al. 2007

Cardiovasc Intervent Radiol

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“…The technique selected depends both on lesion characteristics and physician experience and ability. With the use of multiple techniques, the overall success rate of crossing even complex lesions (TASC C and D) is approximately 85%-95% among experienced operators [13].…”

Section: Crossing the Lesionmentioning

confidence: 99%

SCAI expert consensus statement for femoral‐popliteal arterial intervention appropriate use

Klein

Pinto

Gray

et al. 2014

Cathet Cardio Intervent

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Successful endovascular intervention for femoral-popliteal (FP) arterial disease provides relief of claudication and offers limb-salvage in cases of critical limb ischemia. Technologies and operator technique have evolved to the point where we may now provide effective endovascular therapy for a spectrum of lesions, patients, and clinical scenarios. Endovascular treatment of this segment offers a significant alternative to surgical revascularization, and may confer improved safety for a wide range of patients, not solely those deemed high surgical risk. Although endovascular therapy of the FP segment has historically been hampered by high rates of restenosis, emerging technologies including drug-eluting stents, drug-coated balloons, and perhaps bioabsorbable stent platforms, provide future hope for more durable patency in complex disease. By combining lessons learned from clinical trials, international trends in clinical practice, and insights regarding emerging technologies, we may appropriately tailor our application of endovascular therapy to provide optimal care to our patients. This document was developed to guide physicians in the clinical decision-making related to the contemporary application of endovascular intervention among patients with FP arterial disease. V C 2014 Wiley Periodicals, Inc.

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“…27,28 The principle is to carry out a subintimal dissection at the thrombosis with the help of a guide for making it re-enter into the arterial lumen just below the occlusion [ Fig. 1].…”

Section: Subintimal Recanalizationmentioning

confidence: 99%

Surgical revascularization techniques for diabetic foot

Kota¹,

Kota²,

Meher³

et al. 2013

Journal of Cardiovascular Disease Research

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a b s t r a c tDiabetes is an important risk factor for atherosclerosis. The diabetic foot is characterized by the presence of arteriopathy and neuropathy. The vascular damage includes non-occlusive microangiopathy and macroangiopathy. Diabetic foot wounds are responsible for 5e10% of the cases of major or minor amputations. In fact, the risk of amputation of the lower limbs is 15e20% higher in diabetic populations than in the general population. The University of Texas classification is the reference classification for diabetic wounds. It distinguishes non-ischemic wounds from ischemic wounds which are associated with a higher rate of amputation. The first principles of treatment are the control of pain of an eventual infection. When ischemia is diagnosed, restoration of pulsatile blood flow by revascularization may be considered for salvaging the limb. The treatment options are angioplasty with or without stenting and surgical bypass or hybrid procedures combining the two. Distal reconstructions with anastomosis to the leg or pedal arteries have satisfactory limb-salvage rates. Subintimal angioplasty is a more recent endovascular technique. It could be suggested for elderly patients who are believed to be unsuitable candidates for a conventional bypass or angioplasty. The current article would focus on the various revascularization procedures.

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Subintimal angioplasty of femoropopliteal artery occlusions: The long-term results

Cited by 216 publications

References 18 publications

The “Safari” Technique to Perform Difficult Subintimal Infragenicular Vessels

The “Safari” Technique to Perform Difficult Subintimal Infragenicular Vessels

SCAI expert consensus statement for femoral‐popliteal arterial intervention appropriate use

Surgical revascularization techniques for diabetic foot

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