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2014 ; 31
(4
): 345-52
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Treating femoropopliteal disease: established and emerging technologies
#MMPMID25435660
Diamantopoulos A
; Katsanos K
Semin Intervent Radiol
2014[Dec]; 31
(4
): 345-52
PMID25435660
show ga
The femoropopliteal artery is the most common site of disease in patients with
peripheral arterial disease and presents some of the greatest challenges for
interventional radiology. Many patients can be managed with medical treatment
combined with supervised exercise alone. However, a significant proportion,
especially those suffering from severe intermittent claudication or critical limb
ischemia, will require some form of endovascular or surgical revascularization
procedure. During the past few years an endovascular-first approach has gained
support from all vascular specialties. Today, even complex lesions can be treated
successfully with an endovascular approach. Unfortunately, the unique
bio-mechanical properties of this vascular segment have limited long-term patency
rates and clinical value of the endovascular options. In this review, the authors
discuss the methods and techniques for treatment of femoropopliteal lesions and
review the current evidence for commercially available devices on patency
outcomes following successful recanalization.