Is Balloon Angioplasty of Peri-Anastomotic Stenoses of Failing Peripheral Arterial Bypasses Worthwhile?

Abstract

Balloon angioplasty of PAS resulted in acceptable 2-year assisted primary patency rate of almost 60%. Endovascular intervention avoided repeat incisions in scarred groins, higher rates of nerve injury and infection, significant blood loss, and longer length of hospital stays. We recommend that balloon angioplasty of PAS be attempted before resorting to surgical intervention, especially in cases of hostile anastomotic wounds.

Methods and techniques Alternative treatment approach to late graft occlusion of femoropopliteal artery: subintimal tracking and stenting to occluded native artery via transpedal pathway

“…Eisenberg et al . [ 4 ] revealed acceptable assisted primary patency rates for balloon angioplasty of 58% in 42 patients with peri-anastomotic stenoses.…”

Percutaneous Endovascular Recanalization of a Thrombosed Aortic Graft Limb with Stent Placement

“…Since major complications related to either catheter-directed thrombolytic therapy or an open-surgery approach are avoided, the endovascular approach seems attractive and feasible not only in early-or late-postoperative occlusions, but also in cases of acute ischemia, where the prolonged thrombolysis cannot be tolerated [8,9]. Generally, in aortoiliac failed grafts, angioplasty and/or stent placement follows catheter-directed thrombolysis, aspiration thrombectomy, or other clot removal methods, preceding stenting that aims mainly at correcting an anastomotic failure [10]. Our case represents a more straightforward single-step endovascular approach to thrombosed graft recanalization.…”

Successful treatment of delayed aortobifemoral graft thrombosis with manual aspiration thrombectomy

“…The increased morbidity is frequently related to a dissection in a previously operated field, which leads to the increased occurrence of bleeding and wound infections (3). The use of angioplasty and stenting as an adjunctive therapy to graft thrombosis has been limited to treating anastomotic disease (10).…”