Results of percutaneous subintimal angioplasty using routine stenting

Journal of Vascular Surgery
Gerald S TreimanJohn H Whiting

Abstract

To assess the long-term patency and clinical success of subintimal angioplasty in patients with limb-threatening ischemia. From 1999 through 2004, 29 patients with superficial femoral artery (SFA) or popliteal artery occlusion and rest pain or tissue loss underwent subintimal angioplasty. Patients had subintimal wire placement followed by percutaneous transluminal angioplasty and stent placement. From 1 to 10 stents were placed. Technical success required stenosis less than 30% by arteriography, a velocity ratio less than 1.5 by duplex scan, and improvement of the ankle-brachial index greater than 0.15. Follow-up duplex scanning was performed every 3 months for 2 years and then every 6 months thereafter. Initial success was obtained in 26 (90%) of the 29 patients, with an improvement in the mean ankle-brachial index of 0.25. Mean follow-up was 38 months (range, 28-54 months). During follow-up, 16 arteries reoccluded. Six of the 16 patients had recurrent symptoms, four required below-knee amputation, two required above-knee amputation, and four died with an intact limb. After treatment failure, two patients had attempted tissue plasminogen activator (TPA), and four had prosthetic tibial bypass. Overall, 15 patients died, and onl...Continue Reading

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Citations

Apr 17, 2008·Cardiovascular and Interventional Radiology·Rosemarie MetJim A Reekers
Jun 19, 2012·Annals of Vascular Surgery·Sridhar VenkatachalamBruce H Gray
Jul 27, 2011·Pathology, Research and Practice·Se Hoon KimDonghoon Choi
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Feb 7, 2009·European Journal of Radiology·Martin KöcherKaterina Langova
Dec 17, 2008·Seminars in Vascular Surgery·Gautam V Shrikhande, James F McKinsey
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Apr 1, 2008·Journal of Vascular and Interventional Radiology : JVIR·Michael J VertaDavid Hahn
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Jul 1, 2008·Journal of Vascular Surgery·Eric C ScottJean M Panneton
Oct 2, 2007·Journal of Vascular Surgery·Eric C ScottJean M Panneton
May 12, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C SetacciG Galzerano
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Aug 4, 2018·Korean Circulation Journal·Young Guk Ko

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