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Single-center experience with remote endarterectomy for the treatment of long-segment superficial femoral artery occlusion: Long-term results
dc.creator | Karathanos C., Spanos K., Saleptsis V., Antoniou G.A., Koutsias S., Giannoukas A.D. | en |
dc.date.accessioned | 2023-01-31T08:31:44Z | |
dc.date.available | 2023-01-31T08:31:44Z | |
dc.date.issued | 2015 | |
dc.identifier | 10.1177/1538574415617555 | |
dc.identifier.issn | 15385744 | |
dc.identifier.uri | http://hdl.handle.net/11615/74452 | |
dc.description.abstract | Objectives: Remote endarterectomy (RE) is a relatively minimally invasive procedure as an alternative to femoropopliteal above-knee bypass for the treatment of long-segment superficial femoral artery (SFA) occlusion. The objective of this study was to report our experience and to evaluate the long-term outcome. Design: Single-center nonrandomized retrospective study with prospective collection of patients' data. Methods: Twelve patients (11 men; mean age 72 years, range 55-81 years) with long (>10 cm) SFA occlusion underwent RE followed by stent (aSpire) placement at the distal end of the endarterectomy. All patients had at least 2 tibial vessels outflow. Indications were severe claudication in 9 (75%), rest pain in 1(8%), and gangrene in 2 (17%) cases. Technical, hemodynamic success rates and clinical improvement were recorded. Assessment of patency and limb loss was made at a mean follow-up of 50 months (range 12-66 months). Results: Technical success rate was 100%. Immediate hemodynamic and clinical improvement were 92% and 75%, respectively. The mean increase in the Ankle-Brachial pressure index was 0.24. The primary, primary-assisted, and secondary patency rates were 50%, 83%, and 100%, respectively. The perioperative mortality rate was 8% (one death due to myocardial infarction). There was no early (30-day) reocclusion. During the follow-up, 5 (41.6%) cases underwent 7 reinterventions, all by endovascular means. The amputation rate was 16% (2 of 12). Conclusions: The RE for long SFA occlusion is a feasible procedure with acceptable short- and long-term outcomes in the presence of distal arterial outflow. Good long-term patency and limb salvage can be achieved with close surveillance and with the compensation of endovascular reintervention procedures. © The Author(s) 2015. | en |
dc.language.iso | en | en |
dc.source | Vascular and Endovascular Surgery | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949499669&doi=10.1177%2f1538574415617555&partnerID=40&md5=149404c813f95342cac66c36e34231a0 | |
dc.subject | acetylsalicylic acid | en |
dc.subject | clopidogrel | en |
dc.subject | adult | en |
dc.subject | aged | en |
dc.subject | ankle brachial index | en |
dc.subject | anticoagulant therapy | en |
dc.subject | arterial stent | en |
dc.subject | artery blood flow | en |
dc.subject | artery occlusion | en |
dc.subject | Article | en |
dc.subject | claudication | en |
dc.subject | clinical article | en |
dc.subject | coronary artery disease | en |
dc.subject | diabetes mellitus | en |
dc.subject | dyslipidemia | en |
dc.subject | endarterectomy | en |
dc.subject | endovascular surgery | en |
dc.subject | female | en |
dc.subject | follow up | en |
dc.subject | gangrene | en |
dc.subject | guide wire | en |
dc.subject | heart infarction | en |
dc.subject | hemodynamics | en |
dc.subject | human | en |
dc.subject | hypertension | en |
dc.subject | leg amputation | en |
dc.subject | limb salvage | en |
dc.subject | male | en |
dc.subject | minimally invasive procedure | en |
dc.subject | mortality | en |
dc.subject | pain | en |
dc.subject | perioperative period | en |
dc.subject | prospective study | en |
dc.subject | remote endarterectomy | en |
dc.subject | retrospective study | en |
dc.subject | survival | en |
dc.subject | telesurgery | en |
dc.subject | treatment indication | en |
dc.subject | vascular patency | en |
dc.subject | adverse effects | en |
dc.subject | amputation | en |
dc.subject | Arterial Occlusive Diseases | en |
dc.subject | endarterectomy | en |
dc.subject | femoral artery | en |
dc.subject | Greece | en |
dc.subject | Kaplan Meier method | en |
dc.subject | middle aged | en |
dc.subject | pathology | en |
dc.subject | pathophysiology | en |
dc.subject | procedures | en |
dc.subject | radiography | en |
dc.subject | reoperation | en |
dc.subject | risk factor | en |
dc.subject | stenosis, occlusion and obstruction | en |
dc.subject | time factor | en |
dc.subject | treatment outcome | en |
dc.subject | very elderly | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Amputation | en |
dc.subject | Ankle Brachial Index | en |
dc.subject | Arterial Occlusive Diseases | en |
dc.subject | Constriction, Pathologic | en |
dc.subject | Endarterectomy | en |
dc.subject | Endovascular Procedures | en |
dc.subject | Female | en |
dc.subject | Femoral Artery | en |
dc.subject | Greece | en |
dc.subject | Humans | en |
dc.subject | Kaplan-Meier Estimate | en |
dc.subject | Limb Salvage | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Reoperation | en |
dc.subject | Retrospective Studies | en |
dc.subject | Risk Factors | en |
dc.subject | Time Factors | en |
dc.subject | Treatment Outcome | en |
dc.subject | Vascular Patency | en |
dc.subject | SAGE Publications Inc. | en |
dc.title | Single-center experience with remote endarterectomy for the treatment of long-segment superficial femoral artery occlusion: Long-term results | en |
dc.type | journalArticle | en |
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