Impact of calcification and infrapopliteal outflow on the outcome of endovascular treatment of femoropopliteal occlusive disease

JRSM Cardiovascular Disease
Rafael de Athayde SoaresRoberto Sacilotto

Abstract

In this paper, we report the long-term outcomes of the endovascular treatment of femoropopliteal occlusive disease, focusing on the importance of calcification and runoff outflow on limb salvage and patency, and the factors associated with these outcomes at a single center. This retrospective cohort study included consecutive patients with femoropopliteal occlusive who underwent femoropopliteal angioplasty at the Division of Vascular and Endovascular Surgery, Hospital do Servidor Público Estadual, São Paulo, Brazil, between January 2015 and July 2017. In total, 86 femoropopliteal occlusive angioplasties were performed in 86 patients, with an initial technical success rate of 95.34%. The mean ± standard deviation follow-up time was 880 ± 68.84 days. The analysis was performed at 720 days. Technical failure occurred in four patients, who were excluded from the analysis, leaving 82 patients and 82 femoropopliteal occlusive angioplasties. The estimated primary patency, secondary patency, limb salvage, and overall survival rates at 720 days were 60%, 96%, 90%, and 82.5%, respectively. In univariate and multivariate analyses, Cox regression showed worse primary patency rates in patients with one tibial vessel or isolated popliteal ar...Continue Reading

References

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Nov 10, 2015·JAMA : the Journal of the American Medical Association·Farzin FakhryM G Myriam Hunink
Jan 26, 2016·Annals of Vascular Surgery·Rafael de Athayde SoaresRoberto Sacilotto
Mar 26, 2016·Journal of the American College of Cardiology·Shikhar AgarwalMehdi H Shishehbor
Jul 3, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Shota OkunoMasaaki Uematsu

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Citations

Jun 24, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stefanos GiannopoulosEhrin J Armstrong
Mar 6, 2021·Current Cardiology Reports·E Hope WeisslerRajesh V Swaminathan
May 19, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stefanos GiannopoulosEhrin J Armstrong
Jan 29, 2022·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas ZellerEhrin J Armstrong

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