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Wojtasik-Bakalarz J, Arif S, Chyrchel M, et al. Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion. Postepy Kardiol Interwencyjnej. 2017;13(1):47-52doi: 10.5114/aic.2017.66186.
Wojtasik-Bakalarz, J., Arif, S., Chyrchel, M., Rakowski, T., Bartuś, K., Dudek, D., & Bartuś, S. (2017). Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion. Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 13(1), 47-52. https://doi.org/10.5114/aic.2017.66186
Wojtasik-Bakalarz, Joanna, et al. "Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion." Postepy w kardiologii interwencyjnej = Advances in interventional cardiology vol. 13,1 (2017): 47-52. doi: https://doi.org/10.5114/aic.2017.66186
Wojtasik-Bakalarz J, Arif S, Chyrchel M, Rakowski T, Bartuś K, Dudek D, Bartuś S. Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion. Postepy Kardiol Interwencyjnej. 2017;13(1):47-52. doi: 10.5114/aic.2017.66186. Epub 2017 Mar 10. PMID: 28344617; PMCID: PMC5364282.
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Postepy Kardiol Interwencyjnej. 2017;13(1):47-52. doi: 10.5114/aic.2017.66186. Epub 2017 Mar 10.

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

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology

Joanna Wojtasik-Bakalarz, Salech Arif, Michał Chyrchel, Tomasz Rakowski, Krzysztof Bartuś, Dariusz Dudek, Stanisław Bartuś

Affiliations

  1. 2 Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.

PMID: 28344617 PMCID: PMC5364282 DOI: 10.5114/aic.2017.66186

Abstract

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.

Keywords: chronic total occlusion; peripheral artery disease; superficial femoral arteries

Conflict of interest statement

The authors declare no conflict of interest.

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