Impact of Tibial Runoff on Outcomes of Endovascular Treatment for Femoropopliteal Atherosclerotic Lesions

Vascular and Endovascular Surgery
Ui Jun ParkYoung-Nam Roh

Abstract

The aim of this study is to investigate the impact of tibial runoff on outcomes of femoropopliteal interventions for atherosclerotic lesions. A retrospective review of 243 endovascular procedures for femoropopliteal atherosclerotic lesions on 243 limbs of 197 patients was performed. The distribution rates of good tibial runoff (runoff score <7) and poor tibial runoff (runoff score ≥7) were 37.0% and 63.0%, respectively. In the poor tibial runoff group, the patients were older ( P = .019), and the proportion of male was lower ( P = .014). There was a significantly higher proportion of rest pain or tissue loss ( P < .001), and the prevalence of stroke ( P = .031) and renal insufficiency ( P = .005) was significantly higher in the poor runoff group. After femoropopliteal intervention, the amputation-free survival ( P = .03) and freedom from ischemia ( P = .003) were significantly lower in the poor runoff group. The interventions targeting below-the-knee (BTK) lesions performed concomitantly for critical limb ischemia or tissue loss with poor tibial runoff did not show a significant advantage in terms of freedom from ischemia; however, minor trends of longer lasting freedom from ischemia were observed when BTK intervention was comb...Continue Reading

References

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Citations

May 20, 2020·Annals of Vascular Surgery·Pavel KurianovArshed Kuchay
Mar 6, 2021·Current Cardiology Reports·E Hope WeisslerRajesh V Swaminathan
Sep 1, 2020·Annals of Vascular Surgery·C Haddon MullinsGraeme E McFarland
Oct 30, 2021·Journal of Vascular and Interventional Radiology : JVIR·Tomohiro YamaguchiMinoru Yoshiyama

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BETA
amputation
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