Acute and Midterm Outcomes of Antegrade vs Retrograde Crossing Strategies for Endovascular Treatment of Iliac Artery Chronic Total Occlusions

Purpose: To examine whether an antegrade or retrograde crossing strategy for treatment of iliac artery chronic total occlusions (CTOs) is associated with differences in procedural or midterm outcomes. Materials and Methods: A dual-center retrospective cohort study was conducted in 168 patients (mean...

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Bibliographic Details
Published in:Journal of endovascular therapy 2019-06, Vol.26 (3), p.342-349
Main Authors: Kokkinidis, Damianos G., Foley, T. Raymond, Cotter, Ryan, Hossain, Prio, Alvandi, Bejan, Jawaid, Omar, Haider, Moosa N., Singh, Gagan D., Waldo, Stephen W., Laird, John R., Armstrong, Ehrin J.
Format: Article
Language:English
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Summary:Purpose: To examine whether an antegrade or retrograde crossing strategy for treatment of iliac artery chronic total occlusions (CTOs) is associated with differences in procedural or midterm outcomes. Materials and Methods: A dual-center retrospective cohort study was conducted in 168 patients (mean age 66.4±10.6 years; 116 men) treated for CTOs in 110 common iliac arteries (CIA), 52 external iliac arteries (EIA), and 26 combined CIA/EIAs. Logistic regression models were developed to determine the association between crossing strategy and procedural complications, 1- and 3-year target lesion revascularization (TLR), and major adverse limb events (MALE). Results are presented as the odds ratio (OR) and 95% confidence interval (CI). Results: An initial antegrade strategy was more common for EIA CTOs (p
ISSN:1526-6028
1545-1550
DOI:10.1177/1526602819845679