Current treatment methods for long occlusions of the femoropopliteal segment in patients with intermittent claudication: Minireview
Language English Country Czech Republic Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't, Review
PubMed
23549509
DOI
10.5507/bp.2013.018
Knihovny.cz E-resources
- Keywords
- femoropopliteal bypass, intermittent claudication, occlusion of femoropopliteal region, percutaneous transluminal angioplasty, subintimal angioplasty,
- MeSH
- Femoral Artery surgery MeSH
- Popliteal Artery surgery MeSH
- Blood Vessel Prosthesis MeSH
- Blood Vessel Prosthesis Implantation methods MeSH
- Endovascular Procedures methods MeSH
- Intermittent Claudication surgery MeSH
- Humans MeSH
- Reperfusion methods MeSH
- Vascular Surgical Procedures methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
UNLABELLED: Backround. Intermittent claudication is a classic symptom of peripheral arterial disease. It is mainly treated conservatively but if this fails, a form of revascularization is indicated. The revascularization in chronic occlusion of femoropopliteal region is currently performed by two basic methods: the standard method of surgical bypass and the newer miniinvasive alternative represented by the endovascular method. The treatment of patients with solely claudication and long occlusion of femoropopliteal region remains controversial. The aim of this minireview was to determine whether surgical bypass is still the best method of choice in a time of endovascular techniques. METHODS: A MEDLINE search for original and review articles using key terms, intermittent claudication and long femoropopliteal oclusion. RESULTS AND CONCLUSION: No ideal treatment for long occlusions of the femoropopliteal segment has been established to date. It is clear that the role of endovascular techniques in the treatment of SFA occlusions is increasing. It remains that, lower risk patients with claudication should be examined to assess the quality of veins suitable for revascularization and bypass should be selected as the first method of choice.
Department of Radiology University Hospital Olomouc
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