Mid-term result of superficial femoral artery angioplasty versus open surgery

Abstract EN

Objective: to report our mid-term results of superficial femoral artery angioplasty versus open surgery.

Patients and Methods: This study was conducted prospectively on 50 patients with peripheral arterial diseases (Fontaine IIB-IV, Rutherford category 3-6).

The patients were included according to the following inclusion criteria: Disabling intermittent claudication (Fontaine lib, Rutherford 3) or critical limb ischemia (Fontaine III-IV, Rutherford 4-6) caused by long total occluded segment of the superficial femoral artery (>15 cm).

Protocol: After complete clinical examination and investigations, enrolled patients were classified into two groups, group (a): in which 25 patients were subjected to open vascular procedures, and group (b) in which the other 25 patients were subjected to endovascular procedures.

Conclusion: our mid-term results of management of superficial femoral artery occlusion is a trial to detect some predictive variables in relation to primary patency such as stenting‘ state of distal run off ‘graft anatomy and graft material which may help in taking the decision to perform angioplasty or open surgery-