Clinical application of bidirectional intimal angioplasty in lower extremity arterial occlusive disease

doi:10.3877/cma.j.issn.2095-5782.2016.02.005

Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2016, Vol. 04 ›› Issue (02): 77-81. doi: 10.3877/cma.j.issn.2095-5782.2016.02.005

Special Issue: ；

• Vascular Intervention • Previous Articles Next Articles

Clinical application of bidirectional intimal angioplasty in lower extremity arterial occlusive disease

Yukuan Tang¹, Yan Zhang², Chen Huang¹, Weizhao Zhuang¹, Huigang Feng¹, Weifeng Zhong¹, Hanwei Chen¹^,^†(), Yi Huang¹

^1. Department of Interventional Radiology' Guangzhou Panyu Central Hospital, Guangzhou 511400, China
^2. Department of Interventional Radiology' The First Affiliated Hospital of Jinan University, Guangzhou 510632, China

Received:2016-03-16 Online:2016-05-01 Published:2016-05-01
Contact: Hanwei Chen
About author:
Corresponding author: Chen Hanwei, Email: docterwei@sina.com

Abstract

Abstract:

Objective:

To investigate the short-and-long-term effects of bidirectional intimal angioplasty - in clinical application of lower extremity arterial occlusive disease.

Methods:

A retrospective analysis was performed among 32 patients with lower extremity arterial occlusion who received subintimal arterial flossing with antegrade-retrgrade retrograde intervention (SAFARI) between June 2012 - August 2015 in our hospital.

Results:

The success rate of the treatment was 100%, with Fontaine grading levels of post-treatment I in 5 cases and II in 27 cases, showing a statistically significant difference compared with the preoperative data (Z=5.293, P <0.05), after ABI is (0.86±0.13), and preoperative (0.41±0.12) (t=4.923, P <0.05). A follow-up study showed that among the 32 patients after 13 to 29 months, one-year patency remained in 20 patients, two years in 16 cases. Based on the Kaplan-Meier curve analysis, the 1-year, and 2-year patency rate among these patients was 60.93% and 45.28%, respectively.

Conclusions:

The two-way subendometrial angioplasty treatment of lower extremity arterial occlusive disease is safe and effective.

Key words: Subintimal arterial flossing with antegrade-retrograde intervention, Arterial occlusive disease, Radiology, interventional

Yukuan Tang, Yan Zhang, Chen Huang, Weizhao Zhuang, Huigang Feng, Weifeng Zhong, Hanwei Chen, Yi Huang. Clinical application of bidirectional intimal angioplasty in lower extremity arterial occlusive disease[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(02): 77-81.

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References 15

1	杨景明,张小明,张学民,等.双向内膜下血管成形术治疗长段下肢动脉闭塞[J].中华普通外科杂志,2014,29(10):783-786. doi:10.3760/cma.j.issn.1007-631X.2014.10.13.
2	徐树彬,梁志会,李亮,等.双向内膜下血管成形术治疗股浅动脉长段硬化性闭塞疾病16例分析[J].临床误诊误治,2014,27(3):57-60. doi:10.3969/j.issn.1002-3429.2014.03.018.
3	薛冠华,叶猛,张皓.同期双向内膜下血管成形术治疗慢性下肢动脉硬化闭塞症[J].国际外科学杂志,2014,41(12):854-857. doi:10.3760/cma.j.issn.1673-4203.2014.12.020.
4	张艳,李承志,关敏,等.双向内膜下血管成形术在下肢动脉闭塞治疗中的应用[J].中国介入影像与治疗学,2013,10(1):7-10.
5	周承校,胡何节.下肢动脉硬化闭塞症内膜下成形术中再入真腔技术的进展[J].国际外科学杂志,2012,39(7):488-490. doi:10.3760/cma.j.issn.1673-4203.2012.07.018.
6	Fowler SP, Puppala S, Arya R,et al.Genetic epidemiology of cardiometabolic risk factors and their clustering patterns in Mexican American children and adolescents: the SAFARI Study[J]. Hum Genet，2013，132(9):1059-1071. doi: 10.1007/s00439-013-1315-2.
7	叶猛,施娅雪,赵意平,等.同期双向内膜下血管成形技术治疗慢性下肢动脉全堵病变[J].中华外科杂志,2011,49(3):208-212. doi:10.3760/cma.j.issn.0529-5815.2011.03.005.
8	李京雨,刘涛,路军良,等.介入治疗复杂下肢动脉硬化闭塞症技术与疗效分析[J].中华放射学杂志,2011,45(10):960-963. doi:10.3760/cma.j.issn.1005-1201.2011.10.016.
9	Al-Khatib SM, Calkins H, Eloff BC,et al.Planning the Safety of Atrial Fibrillation Ablation Registry Initiative (SAFARI) as a Collaborative Pan-Stakeholder Critical Path Registry Model: a Cardiac Safety Research Consortium "Incubator" Think Tank[J]. Am Heart J，2010，159(1):17-24. doi: 10.1016/j.ahj.2009.10.018.
10	Precious DS.Important pillars of charity cleft surgery: the avoidance of "safari surgery"[J]. Oral Surg Oral Med Oral Pathol Oral Radiol.，2014，117(4):395-396. doi: 10.1016/j.oooo.2013.12.006.
11	Long CG，Banyard E, Fulton B,et al. Developing an assessment of fire-setting to guide treatment in secure settings: the St Andrew's Fire and Arson Risk Instrument (SAFARI)[J]. Behav Cogn Psychother,2014,42(5):617-628. doi: 10.1017/S1352465813000477.
12	Hendricks NJ, Sabri SS.Subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) and rertograde access for critical limb ischemia[J]. Tech Vasc Interv Radiol,2014,17(3):203-210. doi: 10.1053/j.tvir.2014.08.009.
13	郑加贺,郭启勇,刘兆玉,等.双向内膜下成形术在股浅动脉长段闭塞介入治疗中的应用[J].中国医学影像学杂志,2011,19(3):161-164. doi:10.3969/j.issn.1005-5185.2011.03.001.
14	Chianura L,Pozzi F. A 40-year-old man with ulcerated skin lesions caused by bites of safari ants[J]. Am J Trop Med Hyg, 2010,83(1):9. doi: 10.4269/ajtmh.2010.09-0500.
15	叶开创,殷敏毅,陆信武,等.腔内血管成形术治疗髂动脉长段慢性完全闭塞性病变[J].中华外科杂志,2011,49(12):1105-1108. doi:10.3760/cma.j.issn.0529-5815.2011.12.011.

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