title: Clinical outcomes after endovascular treatment of superficial femoral disease in patients with disabling claudication and critical limb ischemia: midterm analysis.
abstract: We present the midterm clinical outcomes and predictors of balloon angioplasty and stent placement in atherosclerotic femoropopliteal (FP) arterial disease. Between January 2002 and August 2006, 155 patients (men = 56%; 71.4 ± 10.5 years) underwent 171 FP angioplasty or stent for claudication (n = 82, 54%) or critical limb ischemia ([CLI] n = 70, 46%). Follow-up was obtained through September 30, 2009. The average follow-up was 3.25 ± 1.73 years. In claudicants versus CLI, the 12-month patency for TransAtlantic InterSociety Consensus II (TASC II) classification (TASC A/B) was 93% versus 80%, respectively, and TASC C/D 83% versus 80%. At 3 years, TASC A/B was 82% versus 80%, respectively, and TASC C/D was 56% versus 80%, respectively. The predictor of clinical failure in claudicants was chronic renal insufficiency (CRI) and in CLI, the predictor of amputation was hyperlipidemia.
authors.affiliation: Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Misselt
authors.forename: M D
authors.initials: MD
authors.lastname: Zielinski
authors.forename: O I Garcia
authors.initials: OI
authors.lastname: Medina
authors.forename: G
authors.initials: G
authors.lastname: Oderich
authors.forename: H
authors.initials: H
authors.lastname: Bjarnason
authors.forename: M A
authors.initials: MA
authors.lastname: McKusick
authors.forename: Sanjay
authors.initials: S
authors.lastname: Misra
mesh_terms: D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D055109:Ankle Brachial Index; D050197:Atherosclerosis / Q000628:therapy*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery*; D007511:Ischemia / Q000628:therapy*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D058729:Peripheral Arterial Disease / Q000628:therapy*; D011150:Popliteal Artery / Q000473:pathology*; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex