Comparison of efficacy in crossing femoropopliteal artery occlusions with movable core and hydrophilic guidewires.
OBJECTIVE
Compare the recanalization rate of femoropopliteal occlusions between movable core wire guide (MG) and hydrophilic guidewire (HG).


METHODS
Conventional PTA technique was used, followed by enclosed thrombolysis. The MG was used for all patients in the first 2 years, the HG in the following 2 years. Baseline characteristics were similar for the two groups of patients.


RESULTS
Recanalization of 124 femoropopliteal occlusions was attempted. Technical success was achieved with the MG in 45 of 59 procedures; 42 procedures were clinically successful. Using the HG, technical success was achieved in 35 of 65 procedures; clinical success was achieved in 35 of 65 procedures; clinical success was achieved in 29 cases (p < 0.0048). At 1-year follow-up, 32 extremities improved after treatment with MG and 22 extremities after treatment with HG (p < 0.035).


CONCLUSIONS
The results suggest that the MG should be the first choice in recanalization of femoropopliteal occlusions.
Tønnesen
K H
KH
Department of Clinical Physiology/Nuclear Medicine, Bispebjerg Hospital, Copenhagen NV, Denmark.
Bülow
J
J
Holstein
P
P
Helgstrand
U
U
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation*; D001157:Arterial Occlusive Diseases / Q000628:therapy; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D011446:Prospective Studies; D015912:Thrombolytic Therapy