Comparison of surgical bypass with angioplasty and stenting of superficial femoral artery disease

Abstract

This is the first study that documents higher reintervention rates for femoral-popliteal bypass compared with angioplasty and stenting. We believe that the main reason for this finding is the fact that the bypass patients had significantly more advanced disease. This, emphasizes that one must consider the patient population undergoing intervention when comparing revascularization procedures. A prospective randomized trial is needed to determine the overall better treatment option.

Comparison between superficial femoral artery stenting and bypass surgery in severe lower-limb ischaemia : a retrospective study : cardiovascular topic

“…20 We followed this principle in our practice. Our study design is similar to that of Malas et al 9 and Linnakoski et al 21 and the outcomes are comparable. Notwithstanding we support the concept that an endovascular-first approach may be advisable in the elderly and in patients with significant co-morbidity.…”

“…This might have been responsible for the higher stent and graft patency, or limb salvage rates in comparison to other series. 9,15 No patients were lost to follow up. There are not many publications comparing femoral artery stenting and bypass surgery, and the assessment of patency and the overall results of different treatment modalities is somewhat problematic, as study designs vary considerably.…”

“…9,18,19 There is evidence that shorter lesions do well with angioplasty/ stent, while longer lesions have significantly lower patency rates. 9 The latest TASC II recommendations include an endovascular approach for shorter lesions and a bypass for longer lesions. 20 We followed this principle in our practice.…”

“…8 Another study comparing surgical bypass with balloon angioplasty and stenting showed better primary patency for the stent group (67%) than the bypass group (49%) and there were higher re-intervention rates in the bypass group. 9 Since there are conflicting data in the literature regarding the success of different methods of treatment of SFA disease and there is a lack of consensus guidelines on the optimum management of SFA disease, the aim of this study was to compare the results of stenting and surgical bypass in the local environment with regard to limb salvage rates in patients with severe leg ischaemia.…”

Percutaneous transluminal angioplasty/stent treatment of totally occlusive iliofemoral artery with limb ischemia: Experience of surgical team

“…[15] The TASC II recommendations include an endovascular approach for shorter lesions and a bypass for longer lesions. [16] We mostly followed this principle in our practice.…”