Initial Results of Concomitant Cryoplasty After Remote Endarterectomy of the Superficial Femoral Artery: A Feasibility Study (Cryoplasty Following Remote Endarterectomy)

Objective: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryopl...

Full description

Saved in:
Bibliographic Details
Published in:Vascular and endovascular surgery 2010-01, Vol.44 (1), p.20-24
Main Authors: Gisbertz, Suzanne S., de Borst, Gert-Jan, Overtoom, Tim Th. C., Moll, Frans L., de Vries, Jean-Paul P.M.
Format: Article
Language:English
Subjects:
Aged
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - physiopathology
Arterial Occlusive Diseases - surgery
Biological and medical sciences
Constriction, Pathologic
Cryosurgery - adverse effects
Endarterectomy - adverse effects
Female
Femoral Artery - pathology
Femoral Artery - physiopathology
Femoral Artery - surgery
Humans
Intermittent Claudication - etiology
Intermittent Claudication - surgery
Kaplan-Meier Estimate
Limb Salvage
Magnetic Resonance Angiography
Male
Medical sciences
Middle Aged
Netherlands
Pilot Projects
Prospective Studies
Reoperation
Secondary Prevention
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Time Factors
Treatment Outcome
Vascular Patency
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstruct SFA was introduced. Methods: A prospective cohort study was initiated with 17 patients treated with cryoplasty of the SFA after remote endarterectomy. Indications for surgery were claudication (n = 12), rest pain (n = 3), or tissue loss (n = 2). Results: There were no technical failures. The Kaplan-Meier estimate of the primary and assisted primary patency rate after 1 year of follow-up was 74%. Secondary patency was 89%. Limb salvage was 100%. No aneurysmal degeneration and no other adverse events occurred during the follow-up. Conclusions: This pilot study showed that cryoplasty after remote SFA endarterectomy is a safe procedure, with promising patency rates.
ISSN:1538-5744
1938-9116
DOI:10.1177/1538574409347397