Considerable advances have been made over the last decade in percutaneous technology for treatment of atherosclerotic diseases in the iliac, femoropopliteal, and distal tibioperoneal arteries. While treatment strategies are well defined in the iliofemoral segment, where angioplasty and stenting perform well in appropriately selected lesions, the search for a durable transcatheter therapy for femoropopliteal and distal occlusive disease continues. The spectrum of treatment alternatives to angioplasty ranges from transcatheter plaque excision to laser ablation, rotational atherectomy, cryoplasty, brachytherapy, and stenting. We review in this article the status of percutaneous endovascular techniques for the treatment of lower extremity vascular occlusive disease.
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Article Synopsis
- The study aimed to identify factors that predict clinical success in invasive treatments for femoropopliteal disease to help guide medical decisions.
- A retrospective analysis was conducted on 676 patients who received either endovascular therapy (EVT) or femoropopliteal bypass (FPB), with key outcomes including clinical patency and amputation rates.
- Critical limb-threatening ischemia (CLTI) was found to negatively impact primary clinical patency, while factors like FPB surgery, higher ankle-brachial index, and more distal runoff vessels positively influenced secondary clinical patency.
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