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SFA Intervention: Intraluminal or Subintimal?

Authors
 Young-Guk Ko 
Citation
 KOREAN CIRCULATION JOURNAL, Vol.48(8) : 685-691, 2018 
Journal Title
 KOREAN CIRCULATION JOURNAL 
ISSN
 1738-5520 
Issue Date
2018
Keywords
Angioplasty ; Femoral artery ; Peripheral artery disease ; Popliteal artery
Abstract
Subintimal angioplasty (SA) is an endovascular technique to recanalize an occluded arterial segment through an extraluminal channel between the intima and media. Since its introduction in 1989, the technical success rate has improved with the accumulation of procedural experience and the development of retrograde approaches and re-entry devices. To date, no randomized trial has compared SA with intraluminal angioplasty (IA) for chronic total occlusion (CTO) of the superficial femoral artery (SFA). Based on limited data from several registry studies, SA appears to achieve a higher technical success rate than IA, whereas mid-term primary patency rates are comparable for both endovascular wiring strategies for SFA CTO. Additional clinical data are needed to confirm that SA is as effective as IA. The optimal stenting strategy and role of drug-eluting technologies also need to be defined to improve SA outcomes.
Files in This Item:
T201804087.pdf Download
DOI
10.4070/kcj.2018.0216
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Young Guk(고영국) ORCID logo https://orcid.org/0000-0001-7748-5788
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165500
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