Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease

Kawarada, Osami; Yotsukura, Hiroko; Nakaya, Takako; Kanayama, Junji; Harada, Koichiro; Ishihara, Masaharu; Yasuda, Satoshi; Ogawa, Hisao

doi:10.1583/12-4139.1

Cited by 10 publications

(9 citation statements)

References 16 publications

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“…Another aspect of our report is about the technique. Subintimal angioplasty, a previously described technique by Kawarada et al ( 10 ) in a femorotibial occlusion of a patient with TAO, is successfully applied in this patient.…”

Section: Discussionmentioning

confidence: 91%

Successful sequential drug eluting balloon angioplasty to chronic total occluded popliteal artery in a patient with thromboangitis obliterans by PCR

Kacmaz¹,

Kaya

Yazıcı

2016

Anatol J Cardiol

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Section: Discussionmentioning

confidence: 91%

Successful sequential drug eluting balloon angioplasty to chronic total occluded popliteal artery in a patient with thromboangitis obliterans by PCR

Kacmaz¹,

Kaya

Yazıcı

2016

Anatol J Cardiol

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“…Endovascular revascularization for treatment of native vessel occlusion could be used as a treatment option after a failed bypass. 30,31 Although thromboangiitis obliterans (TAO) mainly affects the infrapopliteal arteries, femoral and iliac arteries can also be affected. 6 Disease progression can be prevented by smoking cessation, prostaglandin analogues, sympathectomy and vascular endothelial growth factors injection.…”

Section: Discussionmentioning

confidence: 99%

Thromboangiitis obliterans: Aggressive angioplasty provides a potential solution (randomized pilot study)

et al. 2020

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Background: Thromboangiitis obliterans is an inflammatory disease affecting both medium- and small-sized vessels. Vasodilators, antiplatelets were proposed for treatment but the effect was minimal. Objective: This study was conducted to investigate the effect of balloon angioplasty on patients with Buerger’s disease compared to medical treatment. Methods: Between January 2006 and December 2016, 82 patients with Buerger’s disease were enrolled in the study, of whom 52 were randomized to the aggressive endovascular intervention and 30 were randomized medically by cilostazol and aspirin as a control group. In all, 23% of the patients presented with severe claudication, 50% with ischemic rest pain and 27% with ischemic ulcers. Randomization was done using the opaque envelope method. Allocation concealment was maintained to ensure no selection bias. Patient groups were compared for the duration of ulcer healing, ankle–brachial index, peak systolic velocity changes and transcutaneous oximetry (TcPO2) level for 30 months. Results: No major procedural complications occurred in the endovascular group. Angiographic success was achieved in 100% of supragenicular lesions but in 90% of infrapopliteal lesions. The endovascular group showed a statistically significant improvement in the ulcer healing size and duration at 6 months after the procedure with a mean time of 3 ± 0.9 months compared to 5.8 ± 1.69 months for the medical treatment group (p < 0.001), the mean TcPO2 from 27.23 ± 16.75 mm Hg (range: 0–56 mm Hg) before the procedure to 71.32 ± 12.94 mm Hg (range: 52–92 mm Hg) following revascularization (p < 0.01). The mean ankle–brachial index significantly improved from 0.54 ± 0.14 preoperatively to 0.82 ± 0.08 at final follow-up (p < 0.01). Conclusion: The endovascular therapy should be considered as an effective, safe, minimally invasive method in the light of the promising results after a modification of the standard technique.

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“…16 Subintimal angioplasty has been described for endovascular therapy in patients with TAO. 17 However, to avoid the potential risk of dissection or rupture, subintimal recanalization should be reserved for patients in whom intraluminal approach is unfeasible or has failed. 18 Also, prolonged balloon inflation has been recommended for PTA in patients with TAO.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Thromboangiitis Obliterans (Buerger’s Disease)

Modaghegh

Hafezi

2017

Vasc Endovascular Surg

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Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease

Abstract: Contemporary endovascular therapy using the subintimal angioplasty technique could represent a viable option for Buerger's disease.

Cited by 10 publications

References 16 publications

Successful sequential drug eluting balloon angioplasty to chronic total occluded popliteal artery in a patient with thromboangitis obliterans by PCR

Successful sequential drug eluting balloon angioplasty to chronic total occluded popliteal artery in a patient with thromboangitis obliterans by PCR

Thromboangiitis obliterans: Aggressive angioplasty provides a potential solution (randomized pilot study)

Endovascular Treatment of Thromboangiitis Obliterans (Buerger’s Disease)

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