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Superficial femoral artery

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https://www.readbyqxmd.com/read/29349402/transposition-of-the-persistent-sciatic-artery-for-lower-limb-revascularization-after-resection-of-an-embolizing-proximal-sciatic-artery-aneurysm
#1
Rudolf Feer, Peter Stierli, Claude Haller, Giovanni Cito
We present a novel surgical technique for lower limb revascularization after resection of an aneurysm of the persistent sciatic artery that had led to recurrent peripheral embolization and severe ischemia. The superficial femoral artery in this patient was hypoplastic, and the sciatic artery continued into the popliteal artery as the source of blood supply to the lower leg. For revascularization, we used the distally pedicled healthy two-thirds of the persistent sciatic artery, transposed it from its posterior position to a nearly anatomic anteromedial position, and anastomosed it to the proximal superficial femoral artery...
September 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29348915/extended-posterior-approach-for-huge-popliteal-aneurysm-extended-to-superficial-femoral-artery
#2
Tomoki Cho, Hideyuki Iwaki, Munetaka Masuda
Objectives: Generally, popliteal artery aneurysms have been addressed surgically by a medial, posterior, or lateral approach. We have designed a new posterior approach that exposes the superficial femoral artery and entire popliteal artery without dividing any muscles in a just prone position. Methods and results: A 72-year old man with huge popliteal aneurysm extended to superficial femoral artery was admitted to our hospital. Surgery was performed due to a high risk of rupture...
2018: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29344667/clinical-evaluation-of-covered-stents-in-the-treatment-of-superficial-femoral-artery-pseudoaneurysm-in-drug-abusers
#3
Jian Xu, Zhao Zheng, Yong Yang, Wei Zhang, Hongliang Zhao, Bei E, Minwen Zheng
The present study aimed to investigate the technical feasibility and initial clinical outcomes of a covered stent for the endovascular treatment of superficial femoral artery (SFA) pseudoaneurysm in drug abusers. A total of 29 drug abuse patients with SFA pseudoaneurysm, as confirmed by color Doppler sonography, were enrolled to the present study between January 2012 and May 2014. All patients were treated percutaneously by implantation of a covered stent. Physical examination and lower extremity computed tomography angiography were performed at 1 and 9 months postoperation...
January 15, 2018: Molecular Medicine Reports
https://www.readbyqxmd.com/read/29327570/the-detour-procedure-no-more-need-for-conventional-bypass-surgery
#4
Dainis Krievins, Janis Savlovskis, Natalija Ezite, Andrew Hill, Kaspars Kisis, Marcis Gedins, Edgars Zellans, Andrew Holden
BACKGROUND: Long segment occlusive disease in the superficial femoral artery remains a treatment challenge despite advances in open surgical and endovascular approaches. We report initial clinical results of an entirely new procedure to perform femoropopliteal bypass using the DETOUR System to create a stentgraft bypass which originates in the SFA, travels through the femoral vein, and ends in the popliteal artery, bypassing the diseased segment. METHODS: Review the initial results of the first five patients at a single site enrolled in IRB-approved, prospective clinical study using the DETOUR System...
January 9, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29326153/treatment-effect-of-drug-coated-balloons-is-durable-to-3-years-in-the-femoropopliteal-arteries-long-term-results-of-the-in-pact-sfa-randomized-trial
#5
Peter A Schneider, John R Laird, Gunnar Tepe, Marianne Brodmann, Thomas Zeller, Dierk Scheinert, Christopher Metzger, Antonio Micari, Ravish Sachar, Michael R Jaff, Hong Wang, Melissa S Hasenbank, Prakash Krishnan
BACKGROUND: Randomized controlled trials have reported favorable 1-year outcomes with drug-coated balloons (DCBs) for the treatment of symptomatic peripheral arterial disease when compared with standard percutaneous transluminal angioplasty (PTA). Evidence remains limited on the durability of the treatment effect with DCBs in the longer term. METHODS AND RESULTS: IN.PACT SFA is a single-blind, randomized trial (Randomized Trial of IN.PACT Admiral Paclitaxel-Coated Percutaneous Transluminal Angioplasty [PTA] Balloon Catheter vs Standard PTA for the Treatment of Atherosclerotic Lesions in the Superficial Femoral Artery [SFA] and/or Proximal Popliteal Artery [PPA]) that enrolled 331 patients with symptomatic (Rutherford 2-4) femoropopliteal lesions up to 18 cm in length...
January 2018: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29317991/successful-recanalization-of-long-femoro-crural-occlusive-disease-after-failed-bypass-surgery
#6
Grigorios Korosoglou, Tom Eisele, Dorothea Raupp, Christoph Eisenbach, Sorin Giusca
Patients with critical limb ischemia necessitate immediate intervention to restore blood flow to the affected limb. Endovascular procedures are currently preferred for these patients. We describe the case of an 80-year-old female patient who presented to our department with ischemic rest pain and ulceration of the left limb. The patient had history of left femoral popliteal bypass surgery, femoral thromboendarterectomy and patch angioplasty of the same limb 2 years ago. Doppler sonography and magnetic resonance angiography revealed an occlusion of the left superficial femoral artery (SFA) and popliteal artery and of all three infra-popliteal arteries...
December 26, 2017: World Journal of Cardiology
https://www.readbyqxmd.com/read/29285955/novel-nitinol-stent-for-lesions-up-to-24-cm-in-the-superficial-femoral-and-proximal-popliteal-arteries-24-month-results-from-the-tigris-randomized-trial
#7
John R Laird, Thomas Zeller, Christian Loewe, Jack Chamberlin, Richard Begg, Peter A Schneider, Aravinda Nanjundappa, Frank Bunch, Scott Schultz, Stuart Harlin, Alexandra Lansky, Michael R Jaff
PURPOSE: To evaluate the safety and effectiveness of the TIGRIS stent for lesions up to 24 cm in the superficial femoral and proximal popliteal arteries (SFA/PPA). METHODS: This prospective, multicenter, randomized study enrolled 274 subjects at 36 sites in the United States and Europe. Subjects were randomly assigned in a 3:1 ratio to treatment with the TIGRIS stent (n=197; mean age 66.7±9.28 years; 141 men) or LifeStent (n=70; mean age 67.9±8.87 years; 49 men)...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29277392/minimally-invasive-anterior-pelvic-internal-fixation-an-anatomic-study-comparing-pelvic-bridge-to-infix
#8
Lee M Reichel, Lauren M MacCormick, Anthony J Dugarte, Amir R Rizkala, Sara C Graves, Peter A Cole
OBJECTIVES: Anterior external fixation for pelvic ring fractures has shown to effectively improve stability and reduce mortality. However, these fixators can be associated with substantial morbidity such as pin tract infection, premature loss of fixation, and decreased quality of life in patients. Recently, two new methods of subcutaneous anterior pelvic internal fixation have been developed; the INFIX and the Pelvic Bridge. These methods have the purported advantages of lower wound complications, less surgical site pain, and improved quality of life...
December 19, 2017: Injury
https://www.readbyqxmd.com/read/29276107/relationship-of-femoral-artery-ultrasound-measures-of-atherosclerosis-with-chronic-kidney-disease
#9
Simon Hsu, Dena E Rifkin, Michael H Criqui, Natalie C Suder, Pranav Garimella, Charles Ginsberg, Antoinette M Marasco, Belinda J McQuaide, Emma J Barinas-Mitchell, Matthew A Allison, Christina L Wassel, Joachim H Ix
BACKGROUND: Chronic kidney disease (CKD) is strongly associated with peripheral artery disease (PAD). Detection of subclinical PAD may allow early interventions for or prevention of PAD in persons with CKD. Whether the presence of atherosclerotic plaque and femoral intima-media thickness (IMT) are associated with kidney function is unknown. METHODS: We performed a cross-sectional observational study of 1029 community-living adults. We measured superficial and common femoral artery IMT and atherosclerotic plaque presence by ultrasound...
December 22, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29273367/the-rat-groin-flap-model-redesigned-for-evaluating-treatment-effects-on-ischemia-reperfusion-injury
#10
Chung-En Hsu, Victor Bong-Hang Shyu, Chih-Jen Wen, Fu-Chan Wei, Xiao-Ting Huang, Hui-Yun Cheng
BACKGROUND: Although there is a wide application of the rat extended groin flap (epigastric skin flap) in studying different clinical issues, inconsistency arises between studies because many parameters of the extended groin flap have not been well defined. MATERIALS AND METHODS: The flap is based on the superficial inferior epigastric vessels, which give into a lateral and a medial branch distally. Herein, three steps were taken to redesign this model: First, the ventral vascular anatomy was visualized through an imaging study to determine the flap borders...
February 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29245154/acute-procedural-outcomes-of-orbital-atherectomy-for-the-treatment-of-profunda-femoris-artery-disease-subanalysis-of-the-confirm-registries
#11
Michael S Lee, Pratyaksh K Srivastava, Saif Al Yaseen, Daniel Heikali, John Hollowed, Ehtisham Mahmud
OBJECTIVES: We compared the angiographic outcomes of patients treated with orbital atherectomy for profunda femoris artery (PFA) and superficial femoral artery (SFA) disease from the CONFIRM I-III registries. BACKGROUND: Endovascular revascularization of the PFA is considered a high-risk procedure given that it is an important collateral vessel when the SFA becomes occluded. Data on outcomes of endovascular revascularization of calcified PFA disease are limited...
December 15, 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29224939/the-association-of-statin-therapy-with-the-primary-patency-of-femoral-and-popliteal-artery-stents
#12
Derek de Grijs, Pedro Teixeira, Steven Katz
OBJECTIVE: It has long been known that hydroxymethylglutaryl-coenzyme A reductase inhibitors (statins) broadly reduce cardiovascular events in patients with peripheral vascular disease. It was the goal of this study to determine whether there is an association between statin therapy and primary patency after stenting of superficial femoral and popliteal arteries. METHODS: The records of all patients undergoing primary nitinol stenting of the femoral and popliteal arteries at a single institution and by a single surgeon during a 10-year period were reviewed...
December 7, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29224472/preoperative-assessment-of-computerized-tomography-angiography-to-predict-success-for-crossing-long-trans-atlantic-inter-society-consensus-d-lesions-using-the-optical-coherence-tomography-catheter
#13
Ryan J Kim, Jamie B Smith, Todd R Vogel
Objectives Optical coherence tomography chronic total occlusion catheter, the Ocelot (Avinger Inc., Redwood City, CA), has been utilized to cross Trans-Atlantic Inter-Society Consensus D lesions. This study evaluated the preoperative computerized tomography angiography of chronic total occlusions in the superficial femoral artery to predict clinical success. Methods We reviewed all patients who underwent lower extremity procedures with the Ocelot catheter from June 2014 to August 2016. Patients who had a preoperative computerized tomography angiography were evaluated...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/29217435/determination-of-risk-factors-and-establishment-of-a-prediction-model-for-immediate-technical-failure-during-endovascular-treatment-of-femoropopliteal-occlusive-disease
#14
Yi-Hui Qiu, Guan-Feng Yu, Huan-Hao Zhou, Hu-Wei Xia, Li Chen, Hao-Tian Chen, Yuan-Yong Jiao, Zi-Heng Wu, Xiang-Tao Zheng
PURPOSE: This study aims to reveal risk factors and establish a prediction model for the immediate technical failure (ITF) of endovascular treatment (EVT) in femoropopliteal occlusive disease (FPOD) patients based on preoperative clinical data. METHODS: A retrospective analysis of 1563 FPOD patients who underwent above-the-knee EVT was undertaken. Univariate analysis with Chi-square test was used to screen risk factors from preoperative clinical data. Multivariable analysis with logistic regression was used to generate a model for predicting the ITF rate of EVT, which was evaluated through the receiver operator characteristic curve and another independent cohort of 242 FPOD patients...
December 4, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29214670/recanalization-of-native-superficial-femoral-artery-chronic-total-occlusion-after-failed-femoropopliteal-bypass-in-patients-with-critical-limb-ischemia
#15
Zhenjiang Li, Rui Feng, Feng Qin, Zhiqing Zhao, Liangxi Yuan, Yiming Li, Junjun Liu, Jiaxuan Feng, Jian Zhou, Junmin Bao, Zaiping Jing
OBJECTIVES: This study aimed to examine the outcomes of endovascular recanalization for native superficial femoral artery (SFA) chronic total occlusion (CTO) in patients with critical limb ischemia (CLI) after femoropopliteal bypass failure with limited surgical revascularization options. BACKGROUND: Endovascular recanalization of native artery occlusions has been recently used as a new alternative for threatened limbs after bypass graft occlusion. The feasibility and efficacy has not been widely reported...
December 6, 2017: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/29203042/-treatment-of-radiation-induced-iliofemoral-arterial-complications-with-groin-radionecrosis
#16
J-M Fichelle
Long-term iliofemoral complications induced by radiation include vascular (arterial and venous) lesions, nervous lesions and soft tissue loss that can be cutaneous and subcutaneous and potentially lead to radionecrosis with vessel exposure. We present five cases of groin radionecrosis. There were three men and two women (age 30-73 years). Radiotherapy had been delivered 15 years earlier in three cases, and 2 years earlier in two cases. Symptoms were intermittent claudication (n=1), critical ischemia (n=1), and septic hemorrhage (n=1)...
December 2017: Journal de Médecine Vasculaire
https://www.readbyqxmd.com/read/29197604/atherectomy-associated-complications-in-the-southern-california-vascular-outcomes-improvement-collaborative
#17
Yara Azar, Brian DeRubertis, Donald Baril, Karen Woo
INTRODUCTION: Atherectomy has become an increasingly utilized modality for the endovascular treatment of peripheral arterial occlusive disease. The objective of this study is to determine the incidence and risk factors for atherectomy-associated complications. METHODS: A retrospective review was performed of all atherectomy procedures performed between January 2011 and December 2015 in the Southern California Vascular Outcomes Improvement Collaborative. Atherectomy was defined as laser, orbital or excisional atherectomy...
November 29, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29190761/acute-glucoregulatory-and-vascular-outcomes-of-three-strategies-for-interrupting-prolonged-sitting-time-in-postmenopausal-women-a-pilot-laboratory-based-randomized-controlled-4-condition-4-period-crossover-trial
#18
RANDOMIZED CONTROLLED TRIAL
Jacqueline Kerr, Katie Crist, Daniela G Vital, Lindsay Dillon, Sabrina A Aden, Minaxi Trivedi, Luis R Castellanos, Suneeta Godbole, Hongying Li, Matthew A Allison, Galina L Khemlina, Michelle L Takemoto, Simon Schenk, James F Sallis, Megan Grace, David W Dunstan, Loki Natarajan, Andrea Z LaCroix, Dorothy D Sears
BACKGROUND: Prolonged sitting is associated with cardiometabolic and vascular disease. Despite emerging evidence regarding the acute health benefits of interrupting prolonged sitting time, the effectiveness of different modalities in older adults (who sit the most) is unclear. METHODS: In preparation for a future randomized controlled trial, we enrolled 10 sedentary, overweight or obese, postmenopausal women (mean age 66 years ±9; mean body mass index 30.6 kg/m2 ±4...
2017: PloS One
https://www.readbyqxmd.com/read/29184764/dual-energy-ct-angiography-in-peripheral-arterial-stents-optimal-scanning-protocols-with-regard-to-image-quality-and-radiation-dose
#19
Abdulrahman Almutairi, Zakariya Al Safran, Saif A AlZaabi, Zhonghua Sun
Background: To determine the optimal scanning protocols of dual energy computed tomography angiography (DECTA) in terms of radiation dose and image quality assessment at different keV levels, and compare it with conventional computed tomography angiography (CTA) in patients treated with peripheral arterial stents. Methods: Twenty-nine patients with previous stent placement in peripheral arteries were evaluated with DECTA. Images were reconstructed with virtual monochromatic spectral imaging (VMS) at 65, 68, 70 and 72 keV and adaptive statistical iterative reconstruction (ASIR) at 50% compared with CTA...
October 2017: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/29179651/endovascular-therapy-of-the-superficial-femoral-artery-via-a-stand-alone-transradial-access-a-single-center-experience
#20
Elias B Hanna, Bashar A Ababneh, Amit N Amin
OBJECTIVE: We describe our experience in transradial recanalization of the superficial femoral artery (SFA), and we provide a stepwise approach accounting for the patient's height and optimizing the yield of currently available devices. METHODS AND RESULTS: Fifteen patients with simple SFA disease, including 4 patients with total SFA occlusions <15 cm, were selected for stand-alone transradial recanalization. A 6F, 125-cm multipurpose guiding catheter was used to cannulate the limb of interest and support device delivery...
February 2018: Vascular and Endovascular Surgery
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