Eric C. Scott, MD, Andre Biuckians, MD, MPH, Ryan E

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Presentation transcript:

Subintimal angioplasty: Our experience in the treatment of 506 infrainguinal arterial occlusions Eric C. Scott, MD, Andre Biuckians, MD, MPH, Ryan E. Light, MS, Jessica Burgess, BS, George H. Meier, MD, Jean M. Panneton, MD Journal of Vascular Surgery Volume 48, Issue 4, Pages 878-884 (October 2008) DOI: 10.1016/j.jvs.2008.05.037 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Patency of subintimal angioplasty in 439 limbs with arterial occlusion originating in the superficial femoral artery. At 36 months, primary patency was 25% (SE 3.6%), primary-assisted patency was 38% (SE 3.9%), and secondary patency was 50% (4.8%). Standard errors are <10% for all data points. Journal of Vascular Surgery 2008 48, 878-884DOI: (10.1016/j.jvs.2008.05.037) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 Primary patency of subintimal angioplasty by extent of occlusion. At 36 months, primary patency in limbs with isolated superficial femoral artery (SFA) occlusion was 31% (SE 6.6%). In limbs with femoropopliteal occlusion, primary patency was 20% (SE 5.2%), and in limbs with femorotibial occlusion, primary patency was 16% (SE 6.9). Primary patency in limbs with femorotibial occlusion was significantly reduced in comparison to limbs with isolated SFA occlusion (P = .005) or femorotibial occlusion (P = .05). Standard errors are <10% for all data points. Journal of Vascular Surgery 2008 48, 878-884DOI: (10.1016/j.jvs.2008.05.037) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Limb salvage by extent of arterial occlusion. At 36 months, limb salvage was 88% (SE 4.1%), 68% (SE 11.1%), and 64% (SE 11.0%) for limbs with isolated SFA, femoropopliteal, and femorotibial occlusion, respectively. In comparison to limbs with isolated SFA occlusion, limb salvage in extremities with femorotibial occlusion was significantly reduced (P = .02). Fine dotted line denotes SE > 10%. Journal of Vascular Surgery 2008 48, 878-884DOI: (10.1016/j.jvs.2008.05.037) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 Survival in 472 patients with disabling claudication or critical limb ischemia (CLI) secondary to infrainguinal arterial occlusion involving the superficial femoral artery. At three years, survival was 84% (SE 6.8%) in patients with claudication and 55% (SE 7.8%) in those with CLI (P < .0001). Standard errors are <10% for all data points. Journal of Vascular Surgery 2008 48, 878-884DOI: (10.1016/j.jvs.2008.05.037) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions