Long-Term Results of Endovascular Femoropopliteal Interventions

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
Robert Hacker, Luke K Marone

Abstract

Background and Objective  Short-term results of endovascular intervention for femoropopliteal lesions have been extensively reported; however, there exists a paucity of long-term objective data related to outcomes of these interventions. We sought to characterize these long-term results including patency, limb salvage, and mortality. Methods  From May 2003 to July 2009, all patients who underwent technically successful endovascular balloon angioplasty and/or stenting for Trans-Atlantic Inter-Societal Consensus (TASC) II B, C, and D lesions were identified in a retrospective fashion. Patient demographics, clinical characteristics, arterial noninvasive data, and angiographic anatomic data were evaluated. Results  A total of 236 limbs in 186 patients (mean age 74, range 37-94) were treated. Lesion distributions by TASC II classification B, C, and D were 121 (51.3%), 37 (15.7%), and 78 (33%), respectively. Critical limb ischemia (CLI) was the indication for intervention in 42.4% of patients. Five-year primary and primary-assisted patency rates stratified by TASC II classification were B: 55.1%, 91.9%; C: 37.4%, 74.6%; D: 35.5%, 67%, respectively ( p  = 0.23). Secondary patency based on TASC II classification was B: 92.9%, C: 83%, a...Continue Reading

Citations

Jun 22, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Stefanos GiannopoulosEhrin J Armstrong

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