One-Year Outcomes of Femoropopliteal Chronic Total Occlusions Treated With Percutaneous Provisional Approach: A Single Center Experience (Percutaneous Treatment of Femoropopliteal CTO)

Onur Taşar; Koray Kalenderoğlu

doi:10.5152/EurJTher.2019.19024

Authors

Onur Taşar Clinic of Cardiology, University of Health Sciences Elazığ Training and Research Hospital, Elazığ https://orcid.org/0000-0003-2030-3810
Koray Kalenderoğlu Clinic of Cardiology, University of Health Sciences Elazığ Training and Research Hospital, Elazığ https://orcid.org/0000-0002-3596-3857

DOI:

https://doi.org/10.5152/EurJTher.2019.19024

Keywords:

Chronic total occlusion, drug coated balloon, peripheral artery disease

Abstract

Objective: The aim of the present study was to evaluate the results of percutaneous treated femoropopliteal chronic total occlusions (CTOs).
Methods: A total of 204 limbs (167 patients) that were treated with drug-coated balloon angioplasty and/or self-expandable stent implantation between January 2015 and December 2017 were assessed. Immediate and follow-up features were expressed with frequency tables, and Kaplan–Meier analysis was calculated for primary, primary-assisted, and secondary patency rates.
Results: In 202 (99%) cases, optimal targeted success was achieved. Death, arterial rupture requiring surgery, and myocardial infarction were not observed in the hospital period. In only 6 (3%) cases, an entry site hematoma developed but recovered without any intervention. Restenosis in 22 patients (5 in the first 6 months and 17 in the second 6 months) and reocclusion in 8 patients (2 in the first 6 months and 6 in the second 6 months) were observed in a 1-year follow-up. Primary, primary-assisted, and secondary patency rates were found to be 85.1%, 96%, and 98%, respectively, at the end of the first year.
Conclusion: Percutaneous revascularization of femoropopliteal CTOs appears to be safe and effective.

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