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Published byDominick Albert Norman Modified over 6 years ago
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Subintimal angioplasty SFA 148 patients
University of Rome, Italy Maresca L , Gandini R CIRSE page 316
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Long SFA occlusoins > 10 cms
Severe claudication or Chronic limb ischaemia 91 male, 57 female Mean age 71.3 years Gandini et al CIRSE 2006
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75 claudicants 22 rest pain 51 gangrene Gandini et al CIRSE 2006
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139 antegrade approach 3 retrograde popliteal 6 combined Gandini et al CIRSE 2006
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Technical success 93.5 Resolution rest pain claudication 83/97 (85%) Resolution gangrene 40/51 (78%) 6 pts minor amputation Gandini et al CIRSE 2006
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Follow up 13.3 months Mean Patency 122/148 82%
Gandini et al CIRSE 2006
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LIFE-STYLE LIMITING CLAUDICATION
KEY POINTS 80% IMPROVE with Best Medical Therapy Conservative mgmt remains the treatment plan of choice If intervention : Endovascular Transluminal / Subintimal Failed endovascular : consider bypass autogenous vein bypass is the best
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Life style limiting Claudication
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LIFE-STYLE LIMITING CLAUDICATION
MD 69 yrs Bilateral claudication L>R No pulses palpable below femorals ABI’s : 0.35(R) 0.42(L)
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LIFE-STYLE LIMITING CLAUDICATION
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LIFE-STYLE LIMITING CLAUDICATION
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LIFE-STYLE LIMITING CLAUDICATION
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LIFE-STYLE LIMITING CLAUDICATION (CASE 2)
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Limb salvage
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Post subintimal
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