Total Occlusions of the Femoropopliteal Artery: High Technical Success Rate of Conventional Balloon Angioplasty

Morgenstern, Barry R.; Getrajdman, George I.; Laffey, Karen J.; Bixon, Ronda; Martin, Eric C.

doi:10.1148/172.3.937

Cited by 86 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Technical success for PTA in chronic femoropopliteal occlusions ranges from 26% to 91%, depending on the length of the lesion. 7 Occlusions Ͼ10 cm in length have a poorer outcome. 13 The most common cause of procedural failure is inability to cross the lesion with a guidewire.…”

Section: Discussionmentioning

confidence: 99%

Vibrational Angioplasty in the Treatment of Chronic Femoropopliteal Arterial Occlusions: Preliminary Experience

Michalis

Tsetis²,

Katsamouris³

et al. 2001

J Endovasc Ther

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Vibrational Angioplasty in the Treatment of Chronic Femoropopliteal Arterial Occlusions: Preliminary Experience

Michalis

Tsetis²,

Katsamouris³

et al. 2001

J Endovasc Ther

View full text Add to dashboard Cite

show abstract

“…105 To address these obstacles, a variety of specialty adjunctive devices have been developed to facilitate primary wire crossing and plaque debulking. Although promising, no randomized clinical data are available to support the routine use of these specialty devices.…”

Section: Adjunctive Devices For Pvimentioning

confidence: 99%

Endovascular Intervention for Peripheral Artery Disease

Thukkani

Kinlay

2015

Circulation Research

221

158

View full text Add to dashboard Cite

Advances in endovascular therapies during the past decade have broadened the options for treating peripheral vascular disease percutaneously. Endovascular treatment offers a lower risk alternative to open surgery in many patients with multiple comorbidities. Noninvasive physiological tests and arterial imaging precede an endovascular intervention and help localize the disease and plan the procedure. The timing and need for revascularization are broadly related to the 3 main clinical presentations of claudication, critical limb ischemia, and acute limb ischemia. Many patients with claudication can be treated by exercise and medical therapy. Endovascular procedures are considered when these fail to improve quality of life and function. In contrast, critical limb ischemia and acute limb ischemia threaten the limb and require more urgent revascularization. In general, endovascular treatments have greater long-term durability for aortoiliac disease than femoral popliteal disease. Infrapopliteal revascularization is generally reserved for critical and acute limb ischemia. Balloon angioplasty and stenting are the mainstays of endovascular therapy. New well-tested innovations include drug-eluting stents and drug-coated balloons. Adjunctive devices for crossing chronic total occlusions or debulking plaque with atherectomy are less rigorously studied and have niche roles. Patients receiving endovascular procedures need a structured surveillance plan for follow-up care. This includes intensive treatment of cardiovascular risk factors to prevent myocardial infarction and stroke, which are the main causes of death. Limb surveillance aims to identify restenosis and new disease beyond the intervened segments, both of which may jeopardize patency and lead to recurrent symptoms, functional impairment, or a threatened limb.

show abstract

“…Moreover, ultrasound evidence of binary restenosis ranges from 8% to 40% between 6 and 24 months [19]. Procedural success rates have been historically lower in the setting of chronic total occlusion that account for up to 20-40% of patients with LE-PAD undergoing percutaneous treatment [20]. In addition, a number of potential complications (in particular, distal embolization, plaque shift and perforation) may contribute to disappointing results of percutaneous approach to complex infrainguinal disease.…”

Section: Introductionmentioning

confidence: 99%

The role of atherectomy in the treatment of lower extremity peripheral artery disease

et al. 2012

View full text Add to dashboard Cite

BackgroundThe incidence of lower extremity peripheral artery disease (LE-PAD) continues to increase and associated morbidity remains high. Despite the significant development of percutaneous revascularization strategies, over the past decade, LE-PAD still represents a unique challenge for interventional cardiologists and vascular surgeons.MethodTypical features of atherosclerosis that affects peripheral vascular bed (diffuse nature, poor distal runoff, critical limb ischemia, chronic total occlusion) contribute to the disappointing results of traditional percutaneous transluminal angioplasty (PTA). New technologies have been developed in attempt to improve the safety and effectiveness of percutaneous revascularization. Among these, atherectomy, debulking and removing atherosclerotic plaque, offers the potential advantage of eliminating stretch on arterial walls and reducing rates of restenosis.ConclusionsThis review summarizes the features and the current applications of new debulking devices.

show abstract

Total Occlusions of the Femoropopliteal Artery: High Technical Success Rate of Conventional Balloon Angioplasty

Cited by 86 publications

References 0 publications

Vibrational Angioplasty in the Treatment of Chronic Femoropopliteal Arterial Occlusions: Preliminary Experience

Vibrational Angioplasty in the Treatment of Chronic Femoropopliteal Arterial Occlusions: Preliminary Experience

Endovascular Intervention for Peripheral Artery Disease

The role of atherectomy in the treatment of lower extremity peripheral artery disease

Contact Info

Product

Resources

About