SAFETY AND EFFECTIVENESS RESULTS OF RETROGRADE POPLITEAL ARTERY INTERVENTIONS IN TERMS OF ENDOVASCULAR TREATMENT
Öz
OBJECTIVE: This study was conducted to understand whether the retrograde popliteal approach is safe and effective in cases where antegrade approaches, which are frequently used in femoropopliteal stenosis, cannot be performed.
MATERIAL AND METHODS: Between September 2020 and 2022, 89 patients with chronic totally occluded peripheral artery disease who underwent recanalization with distal retrograde popliteal intervention were studied. All retrograde popliteal artery punctures were performed with the patient in the prone position and with the punctures made just above the knee joint. All patients underwent atherectomy and appropriate sized balloon angioplasty.
RESULTS: All patients underwent angiographic imaging after the procedure. More than 30% stenosis was not observed in any of the 83 patients. One patient was taken to emergency surgery because the atherectomy catheter was stuck in the lumen of the occluded SFA lesion, and the procedure was considered unsuccessful. In 2 patients with isolated superficial femoral artery (SFA) lesion, 3 patients with common femoral artery (CFA) lesion and 1 patient with iliac artery lesion, less than 30% stenosis could not be achieved despite treatment.
CONCLUSIONS: Retrograde popliteal endovascular methods is a safe and effective alternative for patients with chronic totally occluded arteries in which anterograde intervention isn’t possible.
Anahtar Kelimeler
Atherosclerosis Endovascular Procedures Peripheral Arterial Disease.
Kaynakça
- 1. Beyaz MO, Ugurlucan M, Oztas DM et al. Evaluation of the relationship between plaque formation leading to symptomatic carotid artery stenosis and cytomegalovirus by investigating the virus DNA. Arch Med Sci Atheroscler Dis. 2019;4:19-24.
- 2. Zemaitis MR, Boll JM, Dreyer MA. Peripheral Arterial Disease. 2022. In: StatPearls [Internet]. Last Update: May 23, 2023.
- 3. Aboyans V, Ricco JB, Bartelink ML et al. 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). 2017;75(11):1065-160.
- 4. Beyaz MO, Demir İ, Ulukan MÖ. Comparison of atherectomy, drug-eluting balloon, and combined treatment efficiency by near infrared spectroscopy. Cir. 2021;89(3):342-6.
- 5. Met R, Van Lienden KP, Koelemay MJ et al. Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol. 2008;31(4):687-97.
- 6. Evans C, Peter N, Gibson M et al. Five-year retrograde transpopliteal angioplasty results compared with antegrade angioplasty. Ann R Coll Surg Engl. 2010;92(4):347-52.
- 7. Kamper L, Haage P. Perkutane Zugänge zur endovaskulären PAVK-Therapie. Femoral, popliteal, pedal [Percutaneous access for endovascular therapy of PAOD. Femoral, popliteal and pedal]. Radiologe. 2016;56(3):223-32.
- 8. Schmidt A, Bausback Y, Piorkowski M et al. Retrograde recanalization technique for use after failed antegrade angioplasty in chronic femoral artery occlusions. J Endovasc Ther. 2012;19(1):23-9.
- 9. Stoner MC, Calligaro KD, Chaer RA et al. Society for Vascular Surgery. Reporting standards of the Society for Vascular Surgery for endovascular treatment of chronic lower extremity peripheral artery disease: Executive summary. J Vasc Surg. 2016;64(1):227-8.
- 10. Wei LM, Zhu YQ, Zhang PL et al. Morphological characteristics of chronic total occlusion: predictors of different strategies for long-segment femoral arterial occlusions. Eur Radiol. 2018;28(3):897-909.
- 11. Met R, Van Lienden KP, Koelemay MJ et al. Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol. 2008;31(4):687-97.
- 12. Silvestro M, Palena LM, Manzi M et al. Anterolateral retrograde access to the distal popliteal artery and to the tibioperoneal trunk for recanalization of femoropopliteal chronic total occlusions. J Vasc Surg. 2018;68(6):1824- 32.
- 13. Younes HK, El-Sayed HF, Davies MG. Retrograde transpopliteal access is safe and effective-it should be added to the vascular surgeon's portfolio. Ann Vasc Surg. 2015;29(2):260-5.
- 14. Ye M, Zhang H, Huang X et al. Retrograde popliteal approach for challenging occlusions of the femoral- popliteal arteries. J Vasc Surg. 2013;58(1):84-9.
- 15. Kawarada O, Yokoi Y. Retrograde 3-French popliteal approach in the supine position after failed antegrade angioplasty for chronic superficial femoral artery occlusion. J Endovasc Ther. 2010;17(2):255-8.
- 16. Yanagita Y, Noda K. Incidence and risk factors of vascular complications following endovascular treatment of peripheral arterial disease via the popliteal artery. Cardiovasc Interv Ther. 2011;26(3):209-14.
- 17. McCullough KM. Retrograde transpopliteal salvage of the failed antegrade transfemoral angioplasty. Australas Radiol. 1993;37(4):329-31.
- 18. Yilmaz S, Altinbaş H, Senol U et al. Common peroneal nerve palsy after retrograde popliteal artery puncture. Eur J Vasc Endovasc Surg. 2002;23(5):467-9.
- 19. Brountzos EN, Moulakakis KG, Avgerinos ED et al. Retrograde transpopliteal approach of iliofemoral lesions. Vasc Endovascular Surg. 2011;45(7):646-50.
- 20. Yilmaz S, Sindel T, Lüleci E. Ultrasound-guided retrograde popliteal artery catheterization: experience in 174 consecutive patients. J Endovasc Ther. 2005;12(6):714-22.
- 21. Saha S, Gibson M, Magee TR et al. Early results of retrograde transpopliteal angioplasty of iliofemoral lesions. Cardiovasc Intervent Radiol. 2001;24(6):378-82
RETROGRAD POPLİTEAL ARTER GİRİŞİMLERİN ENDOVASKÜLER TEDAVİ AÇISINDAN GÜVENLİLİK VE EFEKTİVİTE SONUÇLARI
Öz
AMAÇ: Bu çalışma, femoropopliteal darlıklarda sıklıkla kullanılan antegrad girişimlerin yapılamadığı durumlarda retrograde popliteal yaklaşımın güvenli ve efektif olup olmadığını anlamak adına yapılmıştır.
GEREÇ VE YÖNTEM: Eylül 2020 ile 2022 arasında, distal retrograd popliteal müdahale ile rekanazilizasyon sağlanan kronik tam tıkalı periferik arter hastalığı olan 89 hasta incelendi. Tüm retrograd popliteal arter girişimleri; hasta prone pozisyonda iken ve diz ekleminin hemen üstünden yapılan ponksiyonlar ile gerçekleştirildi. Tüm hastalara aterektomi ve uygun boyutlu balon anjiyoplasti uygulandı.
BULGULAR: İşlemden sonra tüm hastalara anjiyografik görüntüleme yapıldı. 83 hastanın hiçbirinde %30'dan fazla rezidü darlık gözlenmedi. Bir hastada aterektomi kateterinin tıkalı SFA lezyonunun lümeninde sıkışması nedeniyle hasta acil ameliyata alındı ve işlem başarısız kabul edildi. İzole süperfisyal femoral arter (SFA) lezyonu olan 2 hastada, ana femoral arter (CFA) lezyonu olan 3 hastada ve iliak arter lezyonu olan 1 hastada tedaviye rağmen %30'dan az darlık elde edilemedi.
SONUÇ: Retrograd popliteal endovasküler yöntemler, antegrad müdahalenin mümkün olmadığı kronik tam tıkalı arterleri olan hastalar için güvenli ve etkili bir alternatif olarak ortaya çıkmaktadır.
Anahtar Kelimeler
Ateroskleroz Endovasküler Prosedürler Periferal Arteriyel Hastalık.
Kaynakça
- 1. Beyaz MO, Ugurlucan M, Oztas DM et al. Evaluation of the relationship between plaque formation leading to symptomatic carotid artery stenosis and cytomegalovirus by investigating the virus DNA. Arch Med Sci Atheroscler Dis. 2019;4:19-24.
- 2. Zemaitis MR, Boll JM, Dreyer MA. Peripheral Arterial Disease. 2022. In: StatPearls [Internet]. Last Update: May 23, 2023.
- 3. Aboyans V, Ricco JB, Bartelink ML et al. 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). 2017;75(11):1065-160.
- 4. Beyaz MO, Demir İ, Ulukan MÖ. Comparison of atherectomy, drug-eluting balloon, and combined treatment efficiency by near infrared spectroscopy. Cir. 2021;89(3):342-6.
- 5. Met R, Van Lienden KP, Koelemay MJ et al. Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol. 2008;31(4):687-97.
- 6. Evans C, Peter N, Gibson M et al. Five-year retrograde transpopliteal angioplasty results compared with antegrade angioplasty. Ann R Coll Surg Engl. 2010;92(4):347-52.
- 7. Kamper L, Haage P. Perkutane Zugänge zur endovaskulären PAVK-Therapie. Femoral, popliteal, pedal [Percutaneous access for endovascular therapy of PAOD. Femoral, popliteal and pedal]. Radiologe. 2016;56(3):223-32.
- 8. Schmidt A, Bausback Y, Piorkowski M et al. Retrograde recanalization technique for use after failed antegrade angioplasty in chronic femoral artery occlusions. J Endovasc Ther. 2012;19(1):23-9.
- 9. Stoner MC, Calligaro KD, Chaer RA et al. Society for Vascular Surgery. Reporting standards of the Society for Vascular Surgery for endovascular treatment of chronic lower extremity peripheral artery disease: Executive summary. J Vasc Surg. 2016;64(1):227-8.
- 10. Wei LM, Zhu YQ, Zhang PL et al. Morphological characteristics of chronic total occlusion: predictors of different strategies for long-segment femoral arterial occlusions. Eur Radiol. 2018;28(3):897-909.
- 11. Met R, Van Lienden KP, Koelemay MJ et al. Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol. 2008;31(4):687-97.
- 12. Silvestro M, Palena LM, Manzi M et al. Anterolateral retrograde access to the distal popliteal artery and to the tibioperoneal trunk for recanalization of femoropopliteal chronic total occlusions. J Vasc Surg. 2018;68(6):1824- 32.
- 13. Younes HK, El-Sayed HF, Davies MG. Retrograde transpopliteal access is safe and effective-it should be added to the vascular surgeon's portfolio. Ann Vasc Surg. 2015;29(2):260-5.
- 14. Ye M, Zhang H, Huang X et al. Retrograde popliteal approach for challenging occlusions of the femoral- popliteal arteries. J Vasc Surg. 2013;58(1):84-9.
- 15. Kawarada O, Yokoi Y. Retrograde 3-French popliteal approach in the supine position after failed antegrade angioplasty for chronic superficial femoral artery occlusion. J Endovasc Ther. 2010;17(2):255-8.
- 16. Yanagita Y, Noda K. Incidence and risk factors of vascular complications following endovascular treatment of peripheral arterial disease via the popliteal artery. Cardiovasc Interv Ther. 2011;26(3):209-14.
- 17. McCullough KM. Retrograde transpopliteal salvage of the failed antegrade transfemoral angioplasty. Australas Radiol. 1993;37(4):329-31.
- 18. Yilmaz S, Altinbaş H, Senol U et al. Common peroneal nerve palsy after retrograde popliteal artery puncture. Eur J Vasc Endovasc Surg. 2002;23(5):467-9.
- 19. Brountzos EN, Moulakakis KG, Avgerinos ED et al. Retrograde transpopliteal approach of iliofemoral lesions. Vasc Endovascular Surg. 2011;45(7):646-50.
- 20. Yilmaz S, Sindel T, Lüleci E. Ultrasound-guided retrograde popliteal artery catheterization: experience in 174 consecutive patients. J Endovasc Ther. 2005;12(6):714-22.
- 21. Saha S, Gibson M, Magee TR et al. Early results of retrograde transpopliteal angioplasty of iliofemoral lesions. Cardiovasc Intervent Radiol. 2001;24(6):378-82
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Kalp ve Damar Cerrahisi |
| Bölüm | Makaleler-Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Nisan 2025 |
| Gönderilme Tarihi | 6 Mayıs 2024 |
| Kabul Tarihi | 27 Kasım 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 26 Sayı: 2 |
Kaynak Göster
