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Femoropopliteal endobypass: a feasibility study in 41 patients
F Casselman1, F Van Elst, H Spoelstra
1Department of Vascular Surgery, St. Trudoziekenhuis, Halle, Belgium.
Acta Chirurgica Belgica
|January 1, 1997
Summary
This study introduces a novel endovascular technique for superficial femoral artery occlusive disease, achieving high patency rates and no amputations in 41 patients. The method involves recanalization, dilation, and stented graft placement for improved limb salvage.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Devices
Background:
- Atherosclerotic occlusive disease of the superficial femoral artery significantly impacts patient mobility and limb viability.
- Highly symptomatic cases often require advanced treatment strategies to restore blood flow.
Purpose of the Study:
- To present and evaluate a novel endovascular technique for treating total superficial femoral artery occlusions.
- To assess the safety and efficacy of this technique in highly symptomatic patients.
Main Methods:
- The technique involves endovascular recanalization, dilation, and intraluminal placement of a distally stented and dilated polytetrafluoroethylene (PTFE) graft.
- 41 patients with total superficial femoral artery occlusion and proximal popliteal artery collateral refill were treated.
- Follow-up included life-table analysis for patency rates and amputation assessment.
Main Results:
- A very low morbidity rate was observed in the treated patient cohort.
- At 1-year follow-up, the primary patency rate was 75.1%, and assisted primary patency was 79.1%.
- The amputation rate at 1 year was 0%.
Conclusions:
- This endovascular technique offers a promising, minimally invasive option for managing complex superficial femoral artery occlusions.
- The procedure demonstrates favorable patency and limb salvage outcomes, with low morbidity.
- Further detailed discussion of the technique's features and long-term results is warranted.