Outcome after endovascular treatment of deep femoral artery stenosis: results in a consecutive patient series and systematic review of the literature

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Petra DickMartin Schillinger

Abstract

To evaluate immediate and midterm clinical outcomes after percutaneous transluminal angioplasty (PTA) of deep femoral artery stenosis in patients with chronically occluded superficial femoral arteries (SFA) and to report the results of a systematic review of the literature in this field. A retrospective analysis was conducted of 55 consecutive patients (42 men; median age 72 years, interquartile range [IQR] 63-79) with severe intermittent claudication (n = 38) or critical limb ischemia (n = 17) who underwent balloon angioplasty of deep femoral artery stenosis. Patients were followed with ankle-brachial index (ABI) measurement, estimation of maximum walking capacity, clinical staging of peripheral artery disease (PAD), and duplex ultrasound imaging for restenosis. A systematic review of the literature using MEDLINE, EMBASE, and a hand search was done. Technical success (residual stenosis < 30%) was achieved in 85% (47/55), with 1 (2%) minor complication. The median ABI marginally increased from 0.48 at baseline to 0.53 post intervention without significant difference in the change of ABI between patients with supra- or infragenicular reconstitution of the femoropopliteal runoff. During a median 13-month (IQR 3-42) follow-up, no ...Continue Reading

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Citations

Oct 26, 2007·Cardiovascular and Interventional Radiology·Lanfroi GrazianiFrancesco Giannini
Jan 26, 2010·Cardiovascular and Interventional Radiology·Antonio Raffaele Cotroneo, Roberto Iezzi
Oct 8, 2011·Cardiovascular and Interventional Radiology·Dimitrios KarnabatidisDimitrios Siablis
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