Open Endarterectomy of the SPT Segment: An Experience

Abbas, Manzoor; Claydon, Matthew H.; Ponosh, Stephan; Hamilton, Mark; Yahya, Mazri; Angel, Donna; Mwipatayi, Bibombe P.; Sieunarine, Kishore

doi:10.1016/j.avsg.2006.06.002

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…3) Abbas et al emphasized the good results of open endarterectomy with a patch in short atherosclerotic occlusive artery of lower extremity including infragenicular segment. 5) Thus, several articles proved that endarterectomy is a feasible alternative procedure to bypass surgery and EVT in selected patients with localized disease developed in genicular segment. Regarding the current case, the bilateral lower extremity arteries other than the left infragenicular arteries were basically intact, with no atherosclerotic lesions, as shown in Fig.…”

Section: Discussionmentioning

confidence: 99%

“…A point of concern is that residual lesions at one end of the endarterectomy site are associated with recurrent Endarterectomy of Infragenicular Lesions stenosis after surgery. 5) Therefore, arteriotomies of the endarterectomy site are mostly repaired with patch plasty to prevent restenosis, especially for patients in whom either inflow and outflow lesions exist or the arterial diameters are relatively narrow. [2][3][4] Vein patching is a common procedure, but the use of prosthetic patches should be carefully considered because infection of prosthetic patches following endarterectomy sometimes leads to severe complications, such as high mortality risk and major amputation.…”

Section: Discussionmentioning

confidence: 99%

“…1) Endovascular therapy (EVT) or bypass surgery is usually indicated for lesions of the infragenicular arterial segments; however, endarterectomy with a vein patch for atherosclerotic lesions was reported to provide acceptable clinical outcomes. [2][3][4][5] Herein, we report a case of localized infragenicular arterial lesions attributed to thrombosis and treated by endarterectomy without a vein patch. We will then discuss feasible indications for revascularization method.…”

Section: Introductionmentioning

confidence: 99%

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A Case of Isolated Infragenicular Arterial Lesions Successfully Treated with Open Endarterectomy

Okuda

Kikuchi

Koya

et al. 2021

Annals of Vascular Diseases

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A 68-year-old man with a history of superior mesenteric arterial thromboembolism due to chronic atrial fibrillation had experienced intermittent claudication (IC) of his left leg for 3 years. Computed tomography angiography showed focal occlusive lesions in the left distal popliteal artery and proximal segments of the infrapopliteal arteries. Endarterectomy was performed for these localized arterial lesions, and a drastic symptomatic improvement of IC after revascularization was achieved. The endarterectomized segments remained patent for 4 years after the surgery. Endarterectomy could be a useful alternative to bypass surgery and endovascular therapy for the treatment of localized infragenicular arterial lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Isolated Infragenicular Arterial Lesions Successfully Treated with Open Endarterectomy

Okuda

Kikuchi

Koya

et al. 2021

Annals of Vascular Diseases

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“…However, currently, its advantages and applicability could be extended by endovascular means. 14 , 15…”

Section: Discussionmentioning

confidence: 99%

Trans-popliteal hybrid retrograde technique for revascularization of chronic total occlusions of the superficial femoral artery

et al. 2020

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Objectives We present the technical description and preliminary results of a hybrid approach for the treatment of chronic total occlusions of superficial femoral artery in the setting of critical limb-threatening ischemia (CLTI). Methods A retrospective analysis of selected case series was performed. A trans-popliteal hybrid technique was carried out in seven limbs (six patients). Open exposure of above-the-knee popliteal artery was performed over its maximum calcification zone. After retrograde recanalization and graft-stenting of the entire superficial femoral artery, endarterectomy of the popliteal artery was performed for debulking and widening of the distal landing zone of the endoprosthesis. The latter is included in the bovine patch suture to avoid leaving a segment untreated. Results Technical success, haemodynamic and clinical improvement were achieved in all procedures. Median length of treated occlusion was 19.8 cm. After a mean follow-up of 12 months (range 6–26 months), the primary patency was 85.7% (only one asymptomatic occlusion occurred). There were no major cardiovascular or limb adverse events. No re-interventions were required. Conclusion This less-invasive, one-incision technique is safe and effective for the restoration of in-line flow from groin to ankle, currently recommended in CLTI revascularization. It could be especially useful in highly calcified popliteal artery lesions, hostile groins or those at high risk of infection and in cases of vein absence for bypass surgery.

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