Open Subintimal Angioplasty of the Superficial Femoral and Distal Arteries

2000 ◽  
Vol 7 (1) ◽  
pp. 68-71 ◽  
Author(s):  
Panagiotis Balas ◽  
Nicolas Pangratis ◽  
Nikos Ioannou ◽  
Photis Milas ◽  
Christos Klonaris ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
Open Approach ◽  
Subintimal Angioplasty ◽  
Arterial Lumen ◽  
Long Term Follow Up ◽  
Patch Graft ◽  
The Common

Purpose: To describe an open approach to subintimal angioplasty. Technique: Through a subinguinal incision and arteriotomy over the superficial femoral artery origin, the opening of a subintimal channel is created surgically. The subintimal plane is advanced distally with a guidewire, and this neolumen is expanded with sequential balloon dilations. The atherosclerotic core is dissected proximally in the common femoral artery and tacked down to ensure inflow. A patch graft closes the arteriotomy. Conclusions: Open subintimal angioplasty is a simple, minimally invasive alternative treatment for complete SFA occlusion. Long-term follow-up in a large group of patients will be necessary to determine the durability of the false arterial lumen.

Long-term Follow-up of Endoluminal Grafting for Aneurysmal and Occlusive Disease in the Superficial Femoral Artery

1999 ◽  
Vol 6 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Julio A. Rodriguez-Lopez ◽  
Liliana Soler ◽  
Alan Werner ◽  
Edgar Martinez ◽  
Konstantine Papazoglou ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Occlusive Disease ◽  
Long Term Follow Up

Is pharyngeal pouch stapling superior to open pharyngeal pouch repair? An analysis of a single institution's series

2016 ◽  
Vol 130 (9) ◽  
pp. 873-877 ◽  
Author(s):  
E Agalato ◽  
J Jose ◽  
R J England
Keyword(s):  
Surgical Procedures ◽  
Symptom Control ◽  
Open Approach ◽  
Pharyngeal Pouch ◽  
Female Ratio ◽  
Open Procedure ◽  
Long Term Follow Up ◽  
Male To Female

AbstractBackground:Endoscopic stapling has become the primary procedure for pharyngeal pouch surgery because it is quick, less invasive and safe, but less is known about long-term outcomes.Method:Medical records were reviewed to compare rates of morbidity, operative failure, symptom control and revision surgery between open and closed procedures.Results:A total of 120 pharyngeal pouch procedures, carried out on 97 patients from 2000 to 2014, were studied. These included 80 endoscopic stapling and 40 open procedures. Twelve patients had complications (15 per cent) and there was one mortality (1.2 per cent) in the endoscopic stapling group. Ten patients (25 per cent) developed complications in the open procedure group, with no mortalities. Symptom recurrence was significantly greater in the endoscopic stapling group (26 per cent) than in the open procedure group (7.5 per cent). Multiple surgical procedures were required for 22 endoscopically stapled patients (32 per cent); none were required in the open procedure group. Although the male-to-female ratio for pharyngeal pouch incidence was 2:1, the ratio for multiple surgical procedures was 10:1.Conclusion:Endoscopic stapling outcomes are not as good as those following an open approach on long-term follow up, and the early advantages are eliminated if pouch excision is avoided.

scholarly journals Endovascular Treatment of Common Femoral Artery Atherosclerotic Disease

2018 ◽  
Vol 1 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Omar Jawaid ◽  
Ehrin Armstrong
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
Long Term Outcomes ◽  
Patch Angioplasty ◽  
The Common ◽  
Artery Disease

Common femoral artery atherosclerosis is a common cause of claudication and critical limb ischaemia. Surgical endarterectomy with or without patch angioplasty has been considered the gold standard for the treatment of common femoral peripheral artery disease. Endovascular intervention to the common femoral artery has gained popularity in recent years as devices and technical skills have advanced. A systematic review of the literature from 1987 to 2018 for endovascular treatment of common femoral artery disease was conducted. This article summarises the data on acute and long-term outcomes for endovascular treatment of common femoral artery disease.

Long-term Follow-up of Endoluminal Grafting for Aneurysmal and Occlusive Disease in the Superficial Femoral Artery

1999 ◽  
Vol 6 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Julio A. Rodriguez-Lopez ◽  
Liliana Soler ◽  
Alan Werner ◽  
Edgar Martinez ◽  
Konstantine Papazoglou ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Occlusive Disease ◽  
Long Term Follow Up

Recurrent Carotid Disease: Will Stents Be an Alternative to Surgery?

1996 ◽  
Vol 3 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Patrice Bergeron ◽  
Pascal Chambran ◽  
Hubert Benichou ◽  
Christian Alessandri
Keyword(s):  
Balloon Angioplasty ◽  
Internal Carotid ◽  
Neurological Complication ◽  
Carotid Disease ◽  
Long Term Follow Up ◽  
Carotid Occlusive Disease ◽  
The Common ◽  
Internal Carotid Arteries

Purpose: To report the results of balloon angioplasty in recurrent carotid occlusive disease and evaluate the potential for stent implantation. Methods and Results: Between April 1991 and September 1995, 15 patients with carotid restenosis underwent 17 endoluminal procedures in 3 common carotid and 14 internal carotid arteries. Two postdilation complications (dissection and acute occlusion) required prompt stenting; one common carotid artery was stented for postdilation residual stenosis. One recurrent lesion was also stented 6 months after initial angioplasty. One stroke, 1 silent cerebral infarction, and 3 transient ischemic attacks occurred in the balloon angioplasty patients (33% neurological complication rate). The common carotid stent patient died 3 days postoperatively due to hyperperfusion syndrome. Long-term follow-up in two stent patients showed no restenosis at 18 and 48 months, respectively. The 11 balloon angioplasty patients likewise have not demonstrated restenosis. Conclusions: Balloon angioplasty alone appears too risky for treating recurrent carotid disease. Stents may offer a safer alternative, particularly when implanted primarily.

Free full thickness (patch) graft urethroplasty: Long-term follow-up

Urology ◽  
1985 ◽  
Vol 26 (6) ◽  
pp. 562-565 ◽  
Author(s):  
Mark A. Nielsen ◽  
Anton J. Bueschen ◽  
L.Keith Lloyd
Keyword(s):  
Full Thickness ◽  
Long Term Follow Up ◽  
Patch Graft

Endovascular treatment of calcific lesions of the common femoral artery using atherectomy device associated with scoring balloon angioplasty in diabetic patients with high “major amputation” risk

Vascular ◽  
2021 ◽  
pp. 170853812110192
Author(s):  
Daniele Morosetti ◽  
Marcello Chiocchi ◽  
Renato Argirò ◽  
Fabio Salimei ◽  
Marco Nezzo ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Balloon Angioplasty ◽  
Patency Rate ◽  
Common Femoral Artery ◽  
Major Amputation ◽  
Diabetic Patients ◽  
Scoring Balloon ◽  
The Common ◽  
Ulcerative Lesions

Objectives To investigate the outcomes of patients with calcific lesions in the common femoral artery undergoing endovascular procedures with atherectomy device and scoring balloon angioplasty combined with treatment of steno-occlusive disease of the remaining arterial districts of the lower limb. Methods Between January 2015 and December 2018, 11 diabetic patients at high risk for “major amputation”, with calcific lesions of the common femoral artery and ischemic ulcers requiring endovascular treatment were retrospectively evaluated. Technical success was defined as revascularization of the common femoral artery with a residual stenosis lower than 30%. Primary endpoints were an immediate increase of perilesional transcutaneous oxygen pressure (TCPO2) > 40 mmHg, ulcerative lesions improvement up to healing or skin flaps re-epithelialization after minor amputation, limb rescue with rejected major amputation, and resolution of rest pain if present. Results The success rate of the revascularization procedures was 100%. No patient underwent surgical conversion. One case of peri-operative bleeding at the brachial access site was observed. There were no cases of arterial dissection or undesired distal embolization. The average baseline value of perilesional TCPO2 was 21.8 ± 9.2 mmHg. The mean TCPO2 value was 57.4 ± 7.2 mmHg three days after the procedure ( P < 0.05), and 51.2 ± 9.8 mmHg 15 days after ( P < 0.05). Minor amputations were performed in five patients with advanced ulcerative lesions. No major amputations were performed in the follow-up period. At 14 months follow-up, one patient developed new occlusion of the CFA for extension from the external iliac artery and underwent a new endovascular procedure. We observed an overall primary patency rate of 91% and a primary assisted patency rate of 100% in our 18-month follow-up. Conclusions Endovascular approach for severely calcified atherosclerotic lesions of the common femoral artery seems to represent a valid therapeutic option associated with promising results in terms of clinical outcome and low complication rates.

scholarly journals The Efficacy and Medium to Long-Term Follow-Up of Transcatheter Retrograde Closure of Perimembranous Ventricular Septal Defects via the Femoral Artery With Amplatzer Duct Occluder II in Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Diandong Jiang ◽  
Jianjun Zhang ◽  
Youfei Fan ◽  
Bo Han ◽  
Lijian Zhao ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Amplatzer Duct Occluder ◽  
Closure Rate ◽  
Bundle Branch Block ◽  
Septal Defects ◽  
Perimembranous Ventricular Septal Defect ◽  
Long Term Follow Up ◽  
The Mean

Objective: The aim of this study was to assess the efficacy and safety of transcatheter retrograde closure of perimembranous ventricular septal defect (pmVSD) via the femoral artery with an Amplatzer Duct Occluder II (ADO II) in children.Methods: The clinical and follow-up data of 102 children who had successfully undergone transcatheter retrograde closure of pmVSD via the femoral artery with Amplatzer Duct Occluder II (ADO II) from February 2012 to June 2019 in our center were retrospectively reviewed.Results: In 102 of 103 patients, the defects were successfully closed (99.0%). The average age was 4.03 ± 1.84 years and the mean weight was 17.50 ± 5.58 kg. The mean diameter of the defects was 2.58 ± 0.63 mm. Hundred of the occluders had a waist length of 4 mm. The complete closure rate was 89.2% 24 h after the procedure and 98% at the last follow-up. The follow-up period ranged from 6 to 92 months, with a median of 36 months. One child developed new mild aortic regurgitation (AR), and 9 patients developed new mild tricuspid regurgitation (TR). During follow-up, TR disappeared in 5 patients and decreased in 4 patients, and AR relieved in one patient. One patient developed intermittent complete left bundle branch block 4 days after the procedure and recovered sinus rhythm 2 days later. No serious complications occurred.Conclusion: Transcatheter retrograde closure of pmVSD via the femoral artery with ADO II in children is safe, feasible, and effective in selected patients.

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