@article{article_1479611, title={SAFETY AND EFFECTIVENESS RESULTS OF RETROGRADE POPLITEAL ARTERY INTERVENTIONS IN TERMS OF ENDOVASCULAR TREATMENT}, journal={Kocatepe Tıp Dergisi}, volume={26}, pages={128–132}, year={2025}, DOI={10.18229/kocatepetip.1479611}, author={Beyaz, Metin Onur and Urfalı, Senem and Kaya, Sefer and Demir, İbrahim and Koyuncu, Onur and Fansa, İyad}, keywords={Ateroskleroz, Endovasküler Prosedürler, Periferal Arteriyel Hastalık.}, abstract={OBJECTIVE: This study was conducted to understand whether the retrograde popliteal approach is safe and effective in cases where antegrade approaches, which are frequently used in femoropopliteal stenosis, cannot be performed.
MATERIAL AND METHODS: Between September 2020 and 2022, 89 patients with chronic totally occluded peripheral artery disease who underwent recanalization with distal retrograde popliteal intervention were studied. All retrograde popliteal artery punctures were performed with the patient in the prone position and with the punctures made just above the knee joint. All patients underwent atherectomy and appropriate sized balloon angioplasty.
RESULTS: All patients underwent angiographic imaging after the procedure. More than 30% stenosis was not observed in any of the 83 patients. One patient was taken to emergency surgery because the atherectomy catheter was stuck in the lumen of the occluded SFA lesion, and the procedure was considered unsuccessful. In 2 patients with isolated superficial femoral artery (SFA) lesion, 3 patients with common femoral artery (CFA) lesion and 1 patient with iliac artery lesion, less than 30% stenosis could not be achieved despite treatment.
CONCLUSIONS: Retrograde popliteal endovascular methods is a safe and effective alternative for patients with chronic totally occluded arteries in which anterograde intervention isn’t possible.}, number={2}, publisher={Afyonkarahisar Sağlık Bilimleri Üniversitesi}