Retrograde Popliteal Access for Challenging Superficial Femoral Artery Occlusion.
Journal
International journal of vascular medicine
ISSN: 2090-2824
Titre abrégé: Int J Vasc Med
Pays: United States
ID NLM: 101542608
Informations de publication
Date de publication:
2021
2021
Historique:
received:
01
08
2020
revised:
01
04
2021
accepted:
28
04
2021
entrez:
31
5
2021
pubmed:
1
6
2021
medline:
1
6
2021
Statut:
epublish
Résumé
Retrograde popliteal access has long been established as an alternative to the antegrade approach to occlusive lesions in the superficial femoral artery (SFA). However, early reports with high complication rates (dissection, hematomas, aneurysms, and arteriovenous shunts at the puncture site) reduced enthusiasm for this technique. In recent years, with the development of thinner sheaths and low profile angioplasty devices, retrograde popliteal access has resurfaced as a viable technique, mostly in combination with or after failure of the more classical antegrade approach. In this retrospective study, we will report the safety and efficacy of the retrograde popliteal approach in the treatment of superficial femoral artery chronic total occlusions, in 13 consecutive patients between January 2017 and January 2021. The results showed 100% successful puncture of the popliteal artery and 100% successful recanalization and stenting of the superficial femoral artery with a total of 2 complications related to the puncture site and zero periprocedural mortality. In conclusion, the retrograde popliteal approach appears to be an effective and safe alternative to the common SFA complete total occlusion (CTO) treatment approach.
Identifiants
pubmed: 34055413
doi: 10.1155/2021/8833025
pmc: PMC8149250
doi:
Types de publication
Journal Article
Langues
eng
Pagination
8833025Informations de copyright
Copyright © 2021 Georges Ibrahim et al.
Déclaration de conflit d'intérêts
The authors declare that there is no conflict of interest.
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