Abstract
This study assessed whether the duplex ultrasound (DUS)-derived gray-scale median (GSM) of the most six distal portion of the occluded femoral-popliteal arterial segment can predict success of lumen re-entry for subintimal angioplasty. During the last 3 years, 108 patients (62% men) with a mean age of 73 +/- 10 years underwent 116 primary attempted DUS-guided subintimal angioplasties of the femoral-popliteal segment. Preprocedural B-mode DUS images of the plaque at the most distal occlusion segment were digitalized and normalized using Photoshop (Adobe, San Jose, Calif) software and standard criteria (gray level, 0 to 5 for lumen blood and 185 to 190 for the adventitia on a linear scale of 0 to 255). Overall GSM of the plaque segment about 2 cm long, immediately before the planned re-entry point to the true arterial lumen, was used for retrospective correlation with procedure success and other clinical indicators. Mean plaque GSM for all cases was 22.5 +/- 12.6 (range, 3 to 60). The overall success rate of subintimal angioplasty procedures was 85%. Mean plaque GSM for 99 successful cases (18.4 +/- 7.8) was significantly lower than for 17 cases (46.4 +/- 8.1) where we failed (P < .0001). We failed in 90% of 19 cases with GSM >35...Continue Reading
References
May 1, 1989·Clinical Radiology·A BoliaP R Bell
May 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N el-BarghoutyV Bahal
Mar 1, 1994·European Journal of Vascular Surgery·N J LondonA Bolia
Oct 1, 1993·The British Journal of Surgery·G GeroulakosM Holloway
Jan 12, 1999·Journal of Vascular Surgery·G RamaswamiM J Davies
Jun 22, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G M BiasiA N Nicolaides
Sep 16, 1999·American Journal of Surgery·E AscherP Gade
Jan 22, 2000·Journal of Vascular Surgery·M M SabetaiG Geroulakos
Sep 8, 2000·Stroke; a Journal of Cerebral Circulation·M M SabetaiJ M Stevens
Jun 4, 2002·Journal of Vascular Surgery·Brajesh K LalEllie Y Chakhtura
Feb 4, 2003·Journal of Vascular Surgery·Evan C LipsitzNicholas Gargiulo
May 28, 2004·Annals of Vascular Surgery·Enrico AscherSreedhar Kallakuri
Jul 28, 2004·Circulation·Giorgio M BiasiMaria Grazia Valsecchi
Mar 16, 2005·Journal of Vascular Surgery·Scott M SurowiecRichard M Green
Sep 21, 2005·Journal of Vascular Surgery·Jennifer K GroganHisham S Bassiouny
Dec 27, 2005·Journal of Vascular Surgery·Enrico AscherAnil P Hingorani
Dec 27, 2005·Journal of Vascular Surgery·Enrico AscherSuresh Nahata
Mar 31, 2006·Annals of Vascular Surgery·Brajesh K LalWalter N Durán
Oct 24, 2006·Journal of Vascular Surgery·Enrico AscherManikyam Mutyala
Nov 25, 2006·Journal of Vascular Surgery·Enrico AscherNatalie A Marks
Dec 13, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S K KakkosD Thomas
May 26, 2007·Stroke; a Journal of Cerebral Circulation·Gerd OstlingIsabel Gonçalves
Citations
Jul 3, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M J BownA J Sutton
Aug 1, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sherif Sultan, Niamh Hynes
Nov 11, 2016·Brain Injury : [BI]·Cheng-Chiang ChangShin-Tsu Chang
Apr 11, 2017·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Bruna M MazettoJoyce M Annichino-Bizzacchi
Jan 31, 2016·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Bruna M MazettoJoyce M Annichino-Bizzacchi
Feb 24, 2011·Ultrasound Quarterly·Maria Fernanda Cassou-BirckholzCamila Faversani Camargo
Feb 15, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Yvonne BausbackAndrej Schmidt
Nov 15, 2012·Ultrasound Quarterly·Ana Luiza D Valiente EngelhornKassyana Weinfurter Assad
Aug 4, 2018·Korean Circulation Journal·Young Guk Ko