Endovascular Recanalization and Angioplasty of a Lengthy, 25 Years Old Superficial Femoral Artery Occlusion
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Abstract
Introduction: Often physicians and patients believe that occluded vessels could not be recanalized because an occlusive lesion is too long or exists over a very long period. We report a successful recanalization of a lengthy, quarter-century old superficial femoral artery occlusion through a percutaneous transluminal angioplasty.
Report: We present the recanalization and angioplasty of the superficial femoral artery in a patient with a 37 cm long and 25 years old superficial femoral artery occlusion with limb ischemia, and who was considered as a high surgical risk. Through a subintimal dissection plane and with subsequent Pacific-balloon dilatation, two stent grafts were deployed to maintain patency. The post-intervention angiography and ankle-brachial index (ABI) showed a satisfactory primary outcome.
Discussion: The recent guidelines recommend the endovascular therapy as the preferred strategy in patients with long and complex femoropopliteal lesions, an adequate recommendation as our case demonstrates. This case demonstrates that neither lesion length nor duration of an occlusion should be a cause to withhold an endovascular treatment.
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Smith M, Pappy R, Hennebry TA (2011) Re-Entry Devices in the Treatment of Peripheral Chronic Occlusions. Tex Heart Inst J 38: 392-397.
Kannel WB, McGee DL (1985) Update on some epidemiologic features of intermittent claudication: the Framingham study. J Am Geriatr Soc 33: 13-18.
Boguszewski A, Torey J, Pai R, Kamalakannan D, Jefic D, et al. (2010) Intraluminal recanalization of SFA CTOs. Endovascular Today May; 33-8.
European Stroke Organisation1, Tendera M, Aboyans V, Bartelink ML, Baumgartner I, et al. (2011) ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J 32: 2851-2906.
Pentecost MJ1, Criqui MH, Dorros G, Goldstone J, Johnston KW, et al. (1994) Guidelines for peripheral percutaneous transluminal angioplasty of the abdominal aorta and lower extremity vessels. A statement for health professionals from a special writing group of the Councils on Cardiovascular Radiology, Arteriosclerosis, Cardio-Thoracic and Vascular Surgery, Clinical Cardiology, and Epidemiology and Prevention, the American Heart Association. Circulation 89: 511-531.
(1990) Guidelines for percutaneous transluminal angioplasty. Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology.. Radiology 177: 619-626.
Dalman RL, Taylor LM (1990) Basic data related to infrainguinal revascularization procedures. Ann Vasc Surg 4: 309-312.
Adam DJ, Beard JD, Cleveland T, Bell J, Bradbury AW, et al. (1925) Bypass versus angioplasty in severe ischemia of the leg (BASIL): Multicentre, randomized controlled trial. Lancet 366: 1925-1934.
Mukherjee D, Inahara T (1989) Endarterectomy as the procedure of choice for atherosclerotic occlusive lesions of the common femoral artery. Am J Surg 157: 498-500.
Cardon A1, Aillet S, Jarno P, Bensalah K, Le Du J, et al. (2001) Endarteriectomy of the femoral tripod: long-term results and analysis of failure factors [in French]. Ann Chir 126: 777-782.