Article
Primary patency rate of native vessel revascularization after failed femoropopliteal bypass surgery
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Authors
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Mohamed Rizk
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
| Published: | December 22, 2021 |
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Outline
Text
Background: Treating patients with chronic limb threating ischemia, who has had failed femoropopliteal bypass represents a challenge, because those patients are having TASC C or D lesions and may not be good candidates for surgical intervention. Endovascular intervention may offer a suitable solution.
Methods: A retrospective case series of 34 patients presenting with chronic limb threating ischemia and previously failed femoropopliteal bypass, they were subjected to native vessel revascularization through a contralateral approach with balloon dilatation and stenting on demand of the superficial femoral artery (SFA).
Results: Technical success was achieved in in 91.18% of cases, stenting was done in 64.51% of cases, and the mean time for the procedure was 73.18 ± 12.96 minutes. ABI significantly increased with clinical improvement. Patency rate at 3, 6, and 12 months were 80%, 56.67%, and 43.33% respectively. While limb salvage rate at 3, 6, and 12 months were 96.67%, 93.33%, and 93.33% respectively.
Conclusion: Native vessel revascularization is a feasible procedure that can be done safely with acceptable technical success and limb salvage rate. It represents a good option for patients who are poor candidates for redo surgery.
