Next Article in Journal
Aorto-caval fistula clinically presenting as left renal colic Findings of multislice computed tomography
Previous Article in Journal
Nutritional status of elderly surgical patients
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Subintimal angioplasty for superficial femoral artery occlusions: first experience in Kaunas University of Medicine Hospital

1
Department of Cardiac Surgery
2
Clinic of Radiology
3
Laboratory of Invasive Cardiology, Institute of Cardiology, Kaunas University of Medicine, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2007, 43(6), 447; https://doi.org/10.3390/medicina43060055
Received: 13 December 2005 / Accepted: 3 December 2006 / Published: 8 December 2006
Objective. To assess prospectively the first experience of subintimal angioplasty of superficial femoral artery occlusions.
Patients and methods
. Within a period of 36 months, 45 patients with 45 chronic occlusions in superficial femoral artery were treated at Kaunas University of Medicine Hospital.
Results. The technical success rate was 84.4%, and four failures were treated by conventional surgery. The following complications occurred: one hematoma at the arterial puncture site, one artery spasm, and two distal embolizations. The mean length of occlusions was 14.2±1.4 cm. The mean ankle-brachial index improved from 0.41±0.15 to 0.81±0.04 after successful subintimal angioplasty (P<0.001). Primary assisted patency rates were 94.7%, 92.1%, 84.2%, 81.6%, and 81.6% at 1, 3, 6, 12, and 24 months, respectively. The limb salvage rates were 100% and 97.8% at 1–3 and 6–12–24 months, respectively. There were no treatmentrelated amputations.
Conclusions. Subintimal angioplasty of occluded superficial femoral artery is a safe and minimally invasive procedure with a high initial technical success rate, low complication rate, and good early results, and in case of failure, subsequent surgery can be performed.
Keywords: subintimal angioplasty; chronic occlusion; superficial femoral artery; TransAtlantic Inter- Society Consensus criteria subintimal angioplasty; chronic occlusion; superficial femoral artery; TransAtlantic Inter- Society Consensus criteria
MDPI and ACS Style

Aleksynas, N.; Kaupas, R.S. Subintimal angioplasty for superficial femoral artery occlusions: first experience in Kaunas University of Medicine Hospital. Medicina 2007, 43, 447.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop