Primary patency rate of native vessel revascularization after failed femoropopliteal bypass surgery | ||
| The Egyptian Journal of Surgery | ||
| Volume 40, Issue 4, October 2021, Pages 1151-1156 PDF (724.65 K) | ||
| DOI: 10.4103/ejs.ejs_180_21 | ||
| Author | ||
| Ahmed Elmahrouky | ||
| Abstract | ||
| Introduction Treating patients with chronic limb-threating ischemia who have had failed femoropopliteal bypass represents a challenge, because these patients have TASC C or D lesions and may not be good candidates for surgical intervention. Endovascular intervention may offer a suitable solution. Patients and methods A retrospective case series of 34 patients presenting with chronic limb-threating ischemia and previously failed femoropopliteal bypass were subjected to native vessel revascularization through a contralateral approach with balloon dilatation and stenting on demand of the superficial femoral artery. Results Technical success was achieved 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 min. Ankle–brachial index significantly increased with clinical improvement. The patency rates at 3, 6, and 12 months were 80, 56.67, and 43.33%, respectively, whereas the limb-salvage rates 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. | ||
| Keywords | ||
| bypass failure; endovascular recanalization; native artery | ||
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