Subintimal angioplasty: Our experience in the treatment of 506 infrainguinal arterial occlusions

Scott, Eric C.; Biuckians, Andre; Light, Ryan E.; Burgess, Jessica; Meier, George H.; Panneton, Jean M.

doi:10.1016/j.jvs.2008.05.037

Cited by 41 publications

(29 citation statements)

References 34 publications

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“…In the study by Treiman et al, routine full-lesion stenting after SIA resulted in poor vessel patency, e.g., as low as 18% after 3 years [13]. In contrast, Scott et al showed improved long-term primary patency rates using selective stenting, approximately 45% to 55% at 1 year and approximately 25% at 3 years [20,21]. In our series, by using stenting selectively as bail-out strategy, cumulative proportional primary patency was calculated at 80.1%, 42.3%, and 29.0% at 12, 24, and 36 months, respectively.…”

Section: Discussionmentioning

confidence: 98%

Subintimal Angioplasty of Long Chronic Total Femoropopliteal Occlusions: Long-Term Outcomes, Predictors of Angiographic Restenosis, and Role of Stenting

Siablis¹,

Diamantopoulos²,

Κατσάνος³

et al. 2011

Cardiovasc Intervent Radiol

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Section: Discussionmentioning

confidence: 98%

Subintimal Angioplasty of Long Chronic Total Femoropopliteal Occlusions: Long-Term Outcomes, Predictors of Angiographic Restenosis, and Role of Stenting

Siablis¹,

Diamantopoulos²,

Κατσάνος³

et al. 2011

Cardiovasc Intervent Radiol

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“…However, the risk of arterial perforation may be higher in EVT with subintimal stent placement than that with intraintimal stent implantation because crural arteries are more fragile. Previous studies have reported the incidence of arterial perforation after subintimal stent placement following occluded lesions in the SFA to range from 2% to 3% [8,9]. In our case, the pseudoaneurysm developed probably due to arterial rupture caused by subintimal stent placement in the SFA.…”

Section: Discussionmentioning

confidence: 47%

Rupture of pseudoaneurysm of the superficial femoral artery over four years after self-expandable nitinol stent implantation

Horimatsu

Fujii

Shibuya

et al. 2015

Journal of Cardiology Cases

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“…Prior reports suggest inferior primary and secondary patency with percutaneous revascularization for critical limb ischemia compared to claudication. 7,8 However, these case series are limited by smaller numbers of patients with a mixture of iliac and infra-inguinal disease, 7 and/or shorter (12 months) follow-up. 7,8 Our results suggest that the biological response to percutaneous treatments is similar between the two groups and supports increasing trends to endovascular treatment as a first-line therapy for critical limb ischemia.…”

Section: Patency After Revascularizationmentioning

confidence: 99%

Femoral artery percutaneous revascularization for patients with critical limb ischemia: Outcomes compared to patients with claudication over 2.5 years

et al. 2012

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Patients with critical limb ischemia have higher rates of death and amputation after revascularization compared to patients with intermittent claudication. However, the differences in patency after percutaneous revascularization of the superficial femoral artery are uncertain and impact the long-term risk of amputation and function in critical limb ischemia. We identified 171 limbs from 136 consecutive patients who had angioplasty and/or stenting for superficial femoral artery stenoses or occlusions from July 2003 through June 2007. Patients were followed for primary and secondary patency, death and amputation up to 2.5 years, and 111 claudicants were retrospectively compared to the 25 patients with critical limb ischemia. Successful percutaneous revascularization occurred in 128 of 142 limbs (90%) with claudication versus 25 of 29 limbs (86%) with critical limb ischemia (p = 0.51). Overall secondary patency at 2.5 years was 91% for claudication and 88% for critical limb ischemia. In Cox proportional hazards models, percutaneous revascularization for critical limb ischemia had similar long-term primary patency (adjusted hazard ratio = 1.1, 95% CI = 0.4, 2.6; p = 0.89) and secondary patency (adjusted hazard ratio = 1.1, 95% CI = 0.2, 6.0; p = 0.95) to revascularization for claudication. Patients with critical limb ischemia had higher mortality and death rates compared to claudicants, with prior statin use associated with less death (p = 0.034) and amputation (p = 0.010), and prior clopidogrel use associated with less amputation (p = 0.034).In conclusion, percutaneous superficial femoral artery revascularization is associated with similar long-term durability in both groups. Intensive treatment of atherosclerosis risk factors and surveillance for restenosis likely contribute to improving the long-term outcomes of both manifestations of peripheral artery disease.

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Subintimal angioplasty: Our experience in the treatment of 506 infrainguinal arterial occlusions

Cited by 41 publications

References 34 publications

Subintimal Angioplasty of Long Chronic Total Femoropopliteal Occlusions: Long-Term Outcomes, Predictors of Angiographic Restenosis, and Role of Stenting

Subintimal Angioplasty of Long Chronic Total Femoropopliteal Occlusions: Long-Term Outcomes, Predictors of Angiographic Restenosis, and Role of Stenting

Rupture of pseudoaneurysm of the superficial femoral artery over four years after self-expandable nitinol stent implantation

Femoral artery percutaneous revascularization for patients with critical limb ischemia: Outcomes compared to patients with claudication over 2.5 years

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