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Three-Year Outcome of Endovascular Treatment of Superficial Femoral Artery Occlusion

2001; American Medical Association; Volume: 136; Issue: 2 Linguagem: Inglês

10.1001/archsurg.136.2.221

1538-3644

Ian L. Gordon,

Aortic aneurysm repair treatments

Hypothesis: Patency after primary percutaneous transluminal angioplasty (PTA) and stenting of superficial femoral artery (SFA) occlusions is better than historical experience with PTA alone.Design: Consecutive case series of primary PTA with stenting, and follow-up with duplex imaging every 6 months (mean± SD follow-up, 32 ± 15 months).Setting: Veterans Affairs medical center.Patients and Methods: Patients were 57 previously untreated men with 71 limbs having chronic atherosclerotic SFA occlusion with suprageniculate reconstitution and patent tibial runoff.Critical ischemia (Society for Vascular Surgery [SVS] category, 4-6) was present in 7 (10%), the remainder had intermittent claudication only (SVS, 1-3).Interventions: Guidewire recanalization followed by PTA, Wallstent deployment, and adjunctive thrombolysis as necessary; 19 limbs (27%) required thrombolysis to manage periprocedural thrombosis.Main Outcome Measures: Cumulative patency