Percutaneous transluminal atherectomy of the superficial femoral and popliteal arteries: Long-term results in 48 patients

Scott J. Savader, Anthony C. Venbrux, Sally E. Mitchell, Scott O. Trerotola, Mei Cheng Wang, Thomas A. Sneed, George B. Tudder, Melvin Rosenblatt, Gunnar B. Lund, Floyd A. Osterman

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Evaluate retrospectively the long-term primary patency of directional atherectomy (DA) in the femoropopliteal arteries. Materials and Methods: DA was used alone in 59 patients (47%) or in combination with predilatation to allow passage of the device (43%) or after thrombolysis (10%) to treat 127 (93%) excentric atherosclerotic stenoses and nine (7%) occlusions of the femoropopliteal arteries. Forty-eight patients were followed by telephone interview, scheduled outpatient visits, color-flow Doppler evaluation, and angiography for 1-36 months (mean 16.9 months). Results: Technical success (reduction of the stenosis or occlusion to less than 30% luminal diameter) was achieved in 110 lesions (80.3%) during 48 procedures in 37 patients. Mean luminal diameter was increased 54% with a concomitant increase in mean ankle/brachial indices of 0.33. According to Kaplan-Meier survival curves, patency at 12 and 24 months was 88% and 75%, respectively. When patients who retained patency but developed restenosis were excluded, the probability of patency at 12, 24, and 36 months was 76%, 58%, and 32%, respectively. Major and minor complications occurred in 15 (21.4%) procedures each for a total complication rate of 42.8%. Conclusion: Based on our results, DA is an effective method for percutaneous treatment of atherosclerotic disease involving the femoropopliteal arteries. It has similar patency but a relatively high complication rate compared with PTA.

Original languageEnglish (US)
Pages (from-to)312-318
Number of pages7
JournalCardiovascular and Interventional Radiology
Volume17
Issue number6
DOIs
StatePublished - Nov 1 1994

Keywords

  • Arteries, extremities
  • Popliteal artery
  • Stenosis or obstruction
  • Superficial femoral artery
  • Surgery
  • Transluminal angioplasty

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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