Wireless laser-assisted angioplasty of the superficial femoral artery in patients with critical limb ischemia who have failed conventional percutaneous revascularization

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Fernando BoccalandroOscar R Rosales

Abstract

Percutaneous revascularization has become an effective treatment for patients suffering from chronic critical limb ischemia (CLI) due to chronic atherosclerotic obstructions, including total occlusions. Unlike other vascular beds, total chronic occlusions of the femoropopliteal arteries are frequently found in patients with severe claudication or CLI. As a consequence, patients with long chronic total occlusions of the femoropopliteal arteries are generally not considered optimal candidates for percutaneous revascularization and are frequently referred for surgical revascularization. In the present study, we sought to evaluate the feasibility, safety, and outcome of a modified wireless laser ablation technique to recanalize total occlusions in patients with CLI who had failed conventional percutaneous techniques for limb salvage. Procedural success, complications, actuarial freedom of limb loss, and surgical revascularization were evaluated in 25 patients after a mean follow-up of 13 +/- 8 months. Procedural success was achieved in 21 patients (84%). Actuarial freedom from surgical revascularization or limb loss was 72%. There was one vascular perforation. No deaths or distal embolization occurred. Three patients (12%) required...Continue Reading

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Citations

Mar 1, 2007·Seminars in Interventional Radiology·Jacob S EcanowRichard Park
Oct 31, 2006·Photomedicine and Laser Surgery
Dec 3, 2014·Cardiology Clinics·Ambrose PanicoRobert S Dieter
Jul 26, 2006·Annals of Vascular Surgery·Evan J RyerPeter L Faries
Nov 18, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·U HoffmannS Schellong
May 17, 2011·Vascular and Endovascular Surgery·Matthew R Smeds, Donald L Jacobs
Aug 9, 2008·Vascular Medicine·Salman A Arain, Christopher J White
Sep 3, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·On Topaz
Apr 17, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Oscar R RosalesCharlie Gnaim
Mar 3, 2015·Expert Review of Cardiovascular Therapy·Arturo DominguezMitul Patel
May 2, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas ZellerMaurice Buchbinder

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