Outcome and Distal Access Patency in Subintimal Arterial Flossing with Antegrade-Retrograde Intervention for Chronic Total Occlusions in Lower Extremity Critical Limb Ischemia

Journal of Vascular and Interventional Radiology : JVIR
Kun Da ZhuangKiang Hiong Tay

Abstract

To report the outcome and distal access patency of the Subintimal Arterial Flossing with Antegrade-Retrograde Intervention (SAFARI) technique for chronic total occlusion (CTO) in critical limb ischemia (CLI). From January 2009 to June 2015, 220 SAFARI procedures were performed for 200 limbs in 191 patients (108 males [56.5%]; median age, 70 years old; range, 36 to 97 years old) with CLI (9.4% were Fontaine classification 3; and 90.6% were Fontaine classification 4). Distal access was obtained from the distal superficial femoral artery (n = 6), popliteal artery (n = 49), anterior tibial artery (n = 56), dorsalis pedis (n = 51), peroneal artery (n = 12), posterior tibial artery (n = 45), and lateral plantar artery (n = 1). Distal access hemostasis was obtained with internal balloon tamponade in 71.4% (n = 157). Outcome measurements were technical success, freedom from major amputation and complications. Preprocedural angiograms of clinically driven repeat interventions were reviewed in 73 cases for distal access patency. Technical success was achieved in 80.5% (n = 177). Reasons for technical failure include inability to obtain distal access (n = 3), cross the occlusion retrogradely (n = 16), re-enter the true lumen (n = 9), and ...Continue Reading

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Citations

May 30, 2020·Viruses·Nadin YounesGheyath K Nasrallah
Dec 29, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Stefanos GiannopoulosEhrin J Armstrong
Mar 6, 2021·Current Cardiology Reports·E Hope WeisslerRajesh V Swaminathan
Aug 18, 2020·Annals of Vascular Surgery·Gérald GahideMathieu Beland
Jun 8, 2021·Jornal Vascular Brasileiro·Miguel Alonso-Rojas HuillcaWildor Samir Cubas Llalle

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