Does Early Failed Endovascular Treatment Of The Superficial Femoral Artery Affect Subsequent Revascularization Options And Patient Outcomes?
Charles S Joels, John W York, Corey A Kalbaugh, Eugene M Langan, III, David L Cull, Bruce A Snyder, Anna L Cass, Christopher G Carsten, III, Spence M Taylor. GHSUMC, Greenville, SC. OBJECTIVES: It is generally accepted that failed infrainguinal bypass significantly compromises arterial run off, which may limit future revascularization. Conflicting evidence exists regarding the effect of failed peripheral angioplasty on the run off status. The purpose of this study is to determine whether early failure after superficial femoral artery (SFA) intervention influences subsequent revascularization options. METHODS: Between July 1, 1998 and June 30, 2006, 276 patients underwent endovascular intervention of the SFA. To determine the optimal distal bypass location, a prospective analysis of pre-intervention and post-failure angiograms of patients with early failure (within 200 days) was performed in a blinded fashion by three attending vascular surgeons. Inter-rater reliability of the angiogram
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