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Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease

INTRODUCTION: Even though it has been reported that femoropopliteal artery endovascular revascularization is often performed with antegrade femoral artery interventions, which are technically relatively challenging, having the advantage of better control, it has also been reported that recanalizatio...

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Autores principales: Yilmaz, Seyhan, Kızıltan, Feryaz, Kalender, Mehmet, Parlar, Hakan, Şaşkın, Hüseyin, Barış, Özgür
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580849/
https://www.ncbi.nlm.nih.gov/pubmed/37854961
http://dx.doi.org/10.5114/aic.2023.131482
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author Yilmaz, Seyhan
Kızıltan, Feryaz
Kalender, Mehmet
Parlar, Hakan
Şaşkın, Hüseyin
Barış, Özgür
author_facet Yilmaz, Seyhan
Kızıltan, Feryaz
Kalender, Mehmet
Parlar, Hakan
Şaşkın, Hüseyin
Barış, Özgür
author_sort Yilmaz, Seyhan
collection PubMed
description INTRODUCTION: Even though it has been reported that femoropopliteal artery endovascular revascularization is often performed with antegrade femoral artery interventions, which are technically relatively challenging, having the advantage of better control, it has also been reported that recanalization failure may occur in approximately 20% of patients and some materials have been developed for this reason. AIM: To evaluate the safety of retrograde popliteal artery intervention and our procedural success rate for symptomatic femoropopliteal artery occlusive disease. MATERIAL AND METHODS: A total of 95 endovascular revascularization procedures were performed for treating symptomatic occlusive peripheral artery disease in the study period. Inclusion criteria were defined as patients who underwent endovascular revascularization procedures for symptomatic femoropopliteal artery occlusive disease. Patients who underwent a percutaneous endovascular procedure for iliac artery or below-knee arterial occlusive disease in the same session and patients who had previously undergone peripheral arterial bypass grafting or endovascular treatment for existing femoropopliteal artery disease were excluded. RESULTS: We evaluated 45 peripheral endovascular procedures performed on 39 patients with a mean age of 62.49 ±11.38 years in our hospital for chronic femoropopliteal artery occlusive disease. Twelve (26.7%) of the endovascular treatment procedures were performed with retrograde access through the popliteal artery (Group 2). In neither group were any complications of arterial rupture, distal embolism, early thrombosis, or pseudoaneurysms observed. CONCLUSIONS: We are of the opinion that the retrograde popliteal artery technique is an effective and safe intervention option in endovascular revascularization, particularly in the revascularization of the long segment and complex femoropopliteal artery occlusions.
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spelling pubmed-105808492023-10-18 Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease Yilmaz, Seyhan Kızıltan, Feryaz Kalender, Mehmet Parlar, Hakan Şaşkın, Hüseyin Barış, Özgür Postepy Kardiol Interwencyjnej Original Paper INTRODUCTION: Even though it has been reported that femoropopliteal artery endovascular revascularization is often performed with antegrade femoral artery interventions, which are technically relatively challenging, having the advantage of better control, it has also been reported that recanalization failure may occur in approximately 20% of patients and some materials have been developed for this reason. AIM: To evaluate the safety of retrograde popliteal artery intervention and our procedural success rate for symptomatic femoropopliteal artery occlusive disease. MATERIAL AND METHODS: A total of 95 endovascular revascularization procedures were performed for treating symptomatic occlusive peripheral artery disease in the study period. Inclusion criteria were defined as patients who underwent endovascular revascularization procedures for symptomatic femoropopliteal artery occlusive disease. Patients who underwent a percutaneous endovascular procedure for iliac artery or below-knee arterial occlusive disease in the same session and patients who had previously undergone peripheral arterial bypass grafting or endovascular treatment for existing femoropopliteal artery disease were excluded. RESULTS: We evaluated 45 peripheral endovascular procedures performed on 39 patients with a mean age of 62.49 ±11.38 years in our hospital for chronic femoropopliteal artery occlusive disease. Twelve (26.7%) of the endovascular treatment procedures were performed with retrograde access through the popliteal artery (Group 2). In neither group were any complications of arterial rupture, distal embolism, early thrombosis, or pseudoaneurysms observed. CONCLUSIONS: We are of the opinion that the retrograde popliteal artery technique is an effective and safe intervention option in endovascular revascularization, particularly in the revascularization of the long segment and complex femoropopliteal artery occlusions. Termedia Publishing House 2023-09-27 2023-09 /pmc/articles/PMC10580849/ /pubmed/37854961 http://dx.doi.org/10.5114/aic.2023.131482 Text en Copyright: © 2023 Termedia Sp. z o. o. https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Yilmaz, Seyhan
Kızıltan, Feryaz
Kalender, Mehmet
Parlar, Hakan
Şaşkın, Hüseyin
Barış, Özgür
Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
title Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
title_full Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
title_fullStr Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
title_full_unstemmed Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
title_short Popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
title_sort popliteal access for endovascular procedures in femoropopliteal artery occlusive disease
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580849/
https://www.ncbi.nlm.nih.gov/pubmed/37854961
http://dx.doi.org/10.5114/aic.2023.131482
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