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| Retrograde approach via the popliteal artery for treating long and #br#
chronic total occlusions in ipsilateral femoral-popliteal arteries |
| ZHENG Jia-he, CHANG Zhi-hui, WANG Chuan-zhuo, LIU Zhao-yu, GUO Qi-yong |
| Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China |
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Abstract Objective: To investigate the feasibility and application value via the popliteal artery for treating long and chronic total occlusions(CTO) in ipsilateral femoral-popliteal arteries. Methods: A retrospective analysis was undertaken of 26 patients who underwent retrograde recanalization via a popliteal artery access for long and CTO in ipsilated femoral-popliteal arteries. Success rate of retrograde puncture and femoral-popliteal artery recanalization were summarized. The complications and short-term clinical efficacy were also analyzed． Results: Technical success(puncture of the popliteal artery and femoral-popliteal artery recanalization) was achieved in all cases. The clinical symptoms improved significantly after operation. Compared with pre-procedure data, the ankle-brachial index(ABI) increased significantly from 0.32±0.13 to 0.82±0.15(P<0.05). Perioperative complications related to popliteal access included 1 pseudoaneurysm， 1 arterio-venous fistula and 3 hematomas in the popliteal region. Restenosis or occlusion were found in 4 patients during 6 months following-up. The primary patency at 6 months was 84.6%(22/26). Conclusion: Retrograde approach via the popliteal artery is a safe and effective technique for long and CTO in femoral-popliteal arteries, which can be considered as first choice after failed antegrade recanalization.
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Received: 08 May 2016
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