Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion

2017
journal article
article
11
cris.lastimport.wos2024-04-10T02:49:18Z
dc.abstract.enIntroduction: Fifty percent of cases of peripheral artery disease are caused by chronic total occlusion (CTO) of the superficial femoral artery (SFA). Ten–fifteen percent of percutaneous SFA recanalization procedures are unsuccessful. In those cases the retrograde technique can increase the success rate of the procedure, but the long-term follow-up of such procedures is still unknown. Aim: To assess the efficacy and clinical outcomes during long-term follow-up after retrograde recanalization of the SFA. Material and methods: We included patients after at least one unsuccessful percutaneous antegrade recanalization of the SFA. Patients were evaluated for the procedural and clinical follow-up of mean time 13.9 months. Results: The study included 17 patients (7 females, 10 males) who underwent percutaneous retrograde recanalization of the SFA from June 2011 to June 2015. The mean age of patients was 63 ±7 years. Retrograde puncture of the distal SFA was successful in all cases. A retrograde procedure was performed immediately after antegrade failure in 4 (23.5%) patients and after a previously failed attempt in 13 (76.5%) patients. The procedure was successful in 15 (88.2%) patients, and unsuccessful in 2 (11.8%) patients. Periprocedural complications included 1 peripheral distal embolization (successfully treated with aspiration thrombectomy), 1 bleeding event from the puncture site and 7 puncture site hematomas. During follow-up the all-cause mortality rate was 5.8% (1 patient, non-cardiac death). The primary patency rate at 12 months was 88.2% and secondary patency 100%. Conclusions: The retrograde SFA puncture seems to be a safe and successful technique for CTO recanalization and is associated with a low rate of perioperative and long-term follow-up complications.pl
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.cm.id81792
dc.contributor.authorWojtasik-Bakalarz, Joannapl
dc.contributor.authorArif, Salechpl
dc.contributor.authorChyrchel, Michał - 357068 pl
dc.contributor.authorRakowski, Tomasz - 241963 pl
dc.contributor.authorBartuś, Krzysztof - 200764 pl
dc.contributor.authorDudek, Dariusz - 129271 pl
dc.contributor.authorBartuś, Stanisław - 227828 pl
dc.date.accessioned2021-03-12T09:23:41Z
dc.date.available2021-03-12T09:23:41Z
dc.date.issued2017pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 51-52pl
dc.description.number1 (47)pl
dc.description.physical47-52pl
dc.description.publication0,68pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume13pl
dc.identifier.doi10.5114/aic.2017.66186pl
dc.identifier.eissn1897-4295pl
dc.identifier.issn1734-9338pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/267222
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enperipheral artery diseasepl
dc.subject.ensuperficial femoral arteriespl
dc.subject.enchronic total occlusionpl
dc.subtypeArticlepl
dc.titleTwelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusionpl
dc.title.journalPostępy w Kardiologii Interwencyjnejpl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T02:49:18Z
dc.abstract.enpl
Introduction: Fifty percent of cases of peripheral artery disease are caused by chronic total occlusion (CTO) of the superficial femoral artery (SFA). Ten–fifteen percent of percutaneous SFA recanalization procedures are unsuccessful. In those cases the retrograde technique can increase the success rate of the procedure, but the long-term follow-up of such procedures is still unknown. Aim: To assess the efficacy and clinical outcomes during long-term follow-up after retrograde recanalization of the SFA. Material and methods: We included patients after at least one unsuccessful percutaneous antegrade recanalization of the SFA. Patients were evaluated for the procedural and clinical follow-up of mean time 13.9 months. Results: The study included 17 patients (7 females, 10 males) who underwent percutaneous retrograde recanalization of the SFA from June 2011 to June 2015. The mean age of patients was 63 ±7 years. Retrograde puncture of the distal SFA was successful in all cases. A retrograde procedure was performed immediately after antegrade failure in 4 (23.5%) patients and after a previously failed attempt in 13 (76.5%) patients. The procedure was successful in 15 (88.2%) patients, and unsuccessful in 2 (11.8%) patients. Periprocedural complications included 1 peripheral distal embolization (successfully treated with aspiration thrombectomy), 1 bleeding event from the puncture site and 7 puncture site hematomas. During follow-up the all-cause mortality rate was 5.8% (1 patient, non-cardiac death). The primary patency rate at 12 months was 88.2% and secondary patency 100%. Conclusions: The retrograde SFA puncture seems to be a safe and successful technique for CTO recanalization and is associated with a low rate of perioperative and long-term follow-up complications.
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.cm.id
81792
dc.contributor.authorpl
Wojtasik-Bakalarz, Joanna
dc.contributor.authorpl
Arif, Salech
dc.contributor.authorpl
Chyrchel, Michał - 357068
dc.contributor.authorpl
Rakowski, Tomasz - 241963
dc.contributor.authorpl
Bartuś, Krzysztof - 200764
dc.contributor.authorpl
Dudek, Dariusz - 129271
dc.contributor.authorpl
Bartuś, Stanisław - 227828
dc.date.accessioned
2021-03-12T09:23:41Z
dc.date.available
2021-03-12T09:23:41Z
dc.date.issuedpl
2017
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 51-52
dc.description.numberpl
1 (47)
dc.description.physicalpl
47-52
dc.description.publicationpl
0,68
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
13
dc.identifier.doipl
10.5114/aic.2017.66186
dc.identifier.eissnpl
1897-4295
dc.identifier.issnpl
1734-9338
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/267222
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
peripheral artery disease
dc.subject.enpl
superficial femoral arteries
dc.subject.enpl
chronic total occlusion
dc.subtypepl
Article
dc.titlepl
Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion
dc.title.journalpl
Postępy w Kardiologii Interwencyjnej
dc.typepl
JournalArticle
dspace.entity.type
Publication

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