Subintimal arterial flossing with antegrade-retrograde intervention technique to treat long-segment occlusion of peripheral artery.
- Author:
Meng YE
1
;
Ya-xue SHI
;
Yi-ping ZHAO
;
Xiao-zhong HUANG
;
Wei LIANG
;
Hao ZHANG
;
Zhao-xiong ZHOU
;
Ji-wei ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Angioplasty, Balloon; methods; Arterial Occlusive Diseases; surgery; Female; Follow-Up Studies; Humans; Lower Extremity; blood supply; Male; Middle Aged; Retrospective Studies
- From: Chinese Journal of Surgery 2011;49(3):208-212
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the technique details of subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) to improve technical success in the treatment of chronic total occlusions (CTO) diseases in lower extremity when there is failure to reenter the distal true lumen.
METHODSBetween May 2009 and Aug 2010, 15 patients underwent endovascular recanalization with SAFARI technique. There were 8 male and 7 female patients with a mean age of 74.9 years. There were 3 patients with severe claudication (Rutherford category 3) and 12 patients with critical limb ischemia (Rutherford category 4 to 6). The clinical and follow-up data of these patients were analyzed retrospectively.
RESULTSFourteen patients were treated with SAFARI technique successfully. The technique success rates were 93.3%. The mean ankle brachial index increased from 0.39 to 0.83.Symptoms were relieved in 86.6% patients, Ulcer were healed in 93.3%patients.
CONCLUSIONSSAFARI technique is a safe and effective method in treating CTO diseases, when it is failure to renter the distal true lumen with subintimal angioplasty technique.
