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Current trends in lower extremity revascularization

Ganesha B Perera1, Sean P Lyden

  • 1Department of Vascular Surgery, Desk S40, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

The Surgical Clinics of North America
|October 16, 2007
PubMed

Insights

Endovascular interventions are increasingly used for superficial femoral artery disease, offering lower risks than traditional bypass surgery. This review examines current endovascular options and their outcomes for femoropopliteal occlusive disease.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Interventions

Background:

  • Femoropopliteal bypass surgery is the established treatment for superficial femoral artery (SFA) athero-occlusive disease, impacting claudication and critical limb ischemia.
  • Endovascular techniques have gained prominence for SFA disease due to reduced morbidity and mortality, despite potential durability concerns.

Purpose of the Study:

  • To review current endovascular management options for femoropopliteal occlusive disease.
  • To summarize the published outcomes associated with various endovascular modalities.

Main Methods:

  • Literature review of endovascular interventions for femoropopliteal occlusive disease.
  • Analysis of published results for different endovascular techniques.

Main Results:

  • A growing number of endovascular interventions are utilized for SFA disease.
  • Various endovascular techniques exist, but consensus on the optimal approach is lacking.
  • Published data on the efficacy and durability of different endovascular methods are presented.

Conclusions:

  • Endovascular interventions represent a significant shift in managing SFA occlusive disease.
  • Further research and consensus are needed to define the best endovascular strategies.
  • Patients and physicians favor endovascular options due to improved safety profiles.

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