A Sheathless Retrograde Approach Via the Popliteal Artery Is Useful and Safe for Treating Chronic Total Occlusions in the Superficial Femoral Artery

• DOI: 10.1583/13-4489mr.1
• Publication Date: 2014-04-22T20:18:38Z
• Authors: Takahiro Tokuda; Keisuke Hirano; Toshiya Muramatsu; Reiko Tsukahara; Masatsugu Nakano
• Keywords: Superficial femoral artery; Popliteal artery

To compare the safety and success of a retrograde approach using microcatheter vs. sheath in treatment superficial femoral artery (SFA) chronic total occlusions (CTOs).From April 2007 to December 2012, 188 consecutive patients underwent EVT for 229 de novo SFA CTOs 68 (35 men; mean age 72 years). This cohort was divided into cases performed with 4-F or 6-F (n=28, 36 limbs) those 2.1-F (n=35, 49 limbs). The primary outcomes were time hemostasis number intra- postoperative puncture site complications, as well popliteal puncture, lesion crossing, reperfusion.There no significant differences between two groups baseline characteristics. PA successful all limbs, crossing wire not significantly different (91.9% group 89.8% group). Mean 8.9±8.8 minutes 47.7±13 (p<0.0001). There difference intraoperative complications (22.2% 2.0% group, p=0.002).Based on this retrospective analysis, use CTO access appears be superior sheaths terms shorter fewer complications.