Author(s): Antusevas A, Aleksynas N, Kaupas RS, Inciura D, Kinduris S
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Abstract OBJECTIVES: To report results of subintimal angioplasty (SA) of superficial femoral artery occlusions and to compare these results with percutaneous transluminal angioplasty (PTA) of similar lesions. DESIGN: Prospective study. PATIENTS: In the period from June 2002 to August 2006, 73 SA procedures were performed in 71 patients and 75 PTA procedures were performed in 75 patients. METHODS: All cases treated with SA or PTA for superficial femoral artery occlusions were prospectively registered and reviewed. Assessments of comorbidities, indication for procedure, run-off, occlusion length, calcification of the artery and graft patency were recorded. RESULTS: The technical success rate of SA was 87.7\% versus 81.3\% for PTA. Primary patency rates in the SA group at 1, 6, 12, 24 months were respectively 84.9+/-4.2, 71.2+/-5.1, 68.5+/-5.3 and 65.8+/-5.2\%; in the PTA group - 81.3+/-4.4, 45.3+/-5.7, 42.7+/-5.6 and 38.7+/-5.5\% respectively. At the same time-points primary assisted patency rates were in SA group 84.9+/-4.2, 83.6+/-4.2, 71.2+/-5.2 and 68.5+/-5.3\%; and in the PTA group 81.3+/-4.4, 62.5+/-5.5, 44+/-5.6 and 42.7+/-5.6\%. Calcification was associated with SA failure. There were no amputations in the follow up of either SA or PTA procedures. CONCLUSION: Results from subintimal angioplasty of superficial femoral artery occlusions was superior to the results of PTA.
This article was published in Eur J Vasc Endovasc Surg
and referenced in Journal of Health Education Research & Development