Endovascular Recanalization of Chronically Occluded Native Arteries After Failed Bypass Surgery in Patients with Critical Ischemia

Abstract

Endovascular recanalization of native CTO in patients with graft failure-related CLI is a feasible, safe, and effective procedure, with reasonable technical success, vessel patency, and limb salvage rates. The technique should be attempted before amputation in patients with limited surgical revascularization options.

Recanalization of native superficial femoral artery chronic total occlusion after failed femoropopliteal bypass in patients with critical limb ischemia

“…As another study showed, the reduced primary patency of diabetics is most likely due to their advanced stage at presentation . In terms of anastomosis occlusion, another risk factor, our finding (HR 2.877; 95% CI 1.1‐6.7, P = 0.029) was similar to that of Yin et al study (HR 2.84; 95% CI 1.00‐8.03, P = 0.049) . The effect of this factor was only found to be significant in univariate analysis.…”

“…34 In terms of anastomosis occlusion, another risk factor, our finding (HR 2.877; 95% CI 1.1-6.7, P = 0.029) was similar to that of Yin et al study (HR 2.84; 95% CI 1.00-8.03, P = 0.049). 30 The effect of this factor was only found to be significant in univariate analysis. As is demonstrated in many studies, anastomotic lesions may negatively influence the results of revision of failed vein bypass graft.…”

“…The technical success rates were ranging from 89% to 100% and limb salvage rates were 81-94% and 65-96% at 1-and 2-years of follow-up. [14][15][16][29][30][31] One-year primary and secondary patency rates in those studies ranged from 16% to 60% and from 44% to 96%, respectively. [14][15][16]30,31 And the rates of repeated intervention were between 38% and 50%.…”

“…[14][15][16][29][30][31] One-year primary and secondary patency rates in those studies ranged from 16% to 60% and from 44% to 96%, respectively. [14][15][16]30,31 And the rates of repeated intervention were between 38% and 50%. [30][31] These published data affirmed that percutaneous recanalization of native occlusions in failed bypass grafts is a considerable alternative with acceptable limb salvage rates.…”

“…[14][15][16]30,31 And the rates of repeated intervention were between 38% and 50%. [30][31] These published data affirmed that percutaneous recanalization of native occlusions in failed bypass grafts is a considerable alternative with acceptable limb salvage rates.…”