anadolu klin

Anatolian Clinic the Journal of Medical Sciences

2149-5254 2458-8849

Hayat Sağlık ve Sosyal Hizmetler Vakfı

10.21673/anadoluklin.755247

Health Care Administration

Sağlık Kurumları Yönetimi

Long-term Results of the Combined Use of Rotational Atherectomy and Drug-Coated Balloon in Isolated Total Occlusion of the Superficial Femoral Artery

Yüzeyel Femoral Arterin İzole Total Oklüzyonunda Rotasyonel Aterektomi ve İlaç Kaplı Balon Kombine Kullanımının Uzun Dönem Sonuçları

https://orcid.org/0000-0001-6457-2727

Bayraktar

Fatih Avni

Istanbul Medeniyet University Faculty of Medicine, Department of Cardiovascular Surgery, Goztepe Education and Research Hospital, Istanbul, Turkey.

https://orcid.org/0000-0002-1348-2411

Kocaaslan

Cemal

Istanbul Medeniyet University Faculty of Medicine, Department of Cardiovascular Surgery, Goztepe Education and Research, Hospital, Istanbul, Turkey.

https://orcid.org/0000-0001-9442-889X

Bademci

Mehmet Şenel

Istanbul Medeniyet University Faculty of Medicine, Department of Cardiovascular Surgery, Goztepe Education and Research, Hospital, Istanbul, Turkey.

https://orcid.org/0000-0003-4855-6297

Selçuk

Emre

Bemizâlem Vakif University Faculty of Medicine, Department of Cardiovascular Surgery

https://orcid.org/0000-0002-9822-0022

Aydın

Ebuzer

Istanbul Medeniyet University Faculty of Medicine, Department of Cardiovascular Surgery, Goztepe Education and Research Hospital, Istanbul, Turkey.

10 29 2020

25 3 200 205 06 19 2020 08 22 2020

1933

Anadolu Kliniği Tıp Bilimleri Dergisi

Aim: In this study, we aimed to evaluate the long-term results of combined treatment with rotational atherectomy (RA) and drug-coated balloon (DCB) in isolated total occlusion of the superficial femoral artery (SFA). Materials and Methods: The retrospective study was conducted between February 2016 and January 2018 and included a total of 23 limbs of 20 patients with isolated total occlusion of the SFA. Patient data on demographic and clinical characteristics were obtained from the hospital records. The stage of the disease was classified according to the Rutherford classification. The ankle–brachial index was measured pre- and postoperatively. Results: Of the patients, 19 (95%) were male and one (5%) was female. The mean patient age was 67.40±7.50 (49–77) years. The patient distribution according to the preoperative Rutherford classification was as follows: stage 5, four (17.40%) patients; stage 4, eight (34.80%) patients; stage 3, eleven (47.80%) patients. The rates of one- and two-year freedom from target lesion revascularization were 82.61% and 69.57%, respectively. Discussion and Conclusion: Our study results showed that combined treatment with RA and DCB was an effective method in SFA lesions with a high calcified plaque burden, providing high rates of primary patency and freedom from target lesion revascularization as well as low rates of complication.

Amaç: Bu çalışmada yüzeyel femoral arterin (YFA) izole total oklüzyonunda rotasyonel aterektomi (RA) ve ilaç kaplı balon (İKB) ile kombine tedavinin uzun dönem sonuçlarını değerlendirmek amaçlanmıştır.Gereç ve Yöntemler: Retrospektif çalışmamız Şubat 2016—Ocak 2018 döneminde gerçekleştirildi ve izole total YFA oklüzyonu olan 20 hastanın toplam 23 uzvunu içerdi. Demografik ve klinik özelliklere dair hasta verileri hastane kayıtlarından elde edildi. Hastalığın evresi Rutherford sınıflamasına göre sınıflandırıldı. Ayak bileği–kol indeksi müdahaleden önce ve sonra ölçüldü. Bulgular: Hastaların 19’u (%95) erkek, 1’i (%5) kadındı. Ortalama hasta yaşı 67,40±7,50 (49–77) yıl idi. Preoperatif Rutherford sınıflamasına göre hasta dağılımı şu şekildeydi: evre 5, dört (%17,40) hasta; evre 4, sekiz (%34,80) hasta; evre 3, on bir (%47,80) hasta. Bir yıllık ve iki yıllık hedef lezyon revaskülarizasyonundan kurtulma oranları sırasıyla %82,61 ve %69,57 idi.Tartışma ve Sonuç: Çalışma sonuçlarımız RA ve İKB ile kombine tedavinin kalsifik plak yükü fazla olan YFA lezyonlarında gerek yüksek primer açıklık ve yüksek hedef lezyon revaskülarizasyonundan kurtulma oranları gerekse düşük komplikasyon oranları ile etkili bir yöntem olduğunu göstermektedir.

Angioplasty atherectomy peripheral arterial disease

anjiyoplasti aterektomi periferik arteriyel hastalık

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