Femoropopliteal Endovascular Interventions

  • Melhem J. Sharafuddin
  • Parth B. Amin
  • Rachael M. Nicholson
  • Jamal J. Hoballah
Chapter
Part of the New Techniques in Surgery Series book series (NEWTECHN, volume 6)

Abstract

The treatment of peripheral arterial disease (PAD) has witnessed a remarkable evolution in the past two decades. While endovascular therapy has become well established as a primary treatment modality in aortoiliac occlusive disease, transcatheter treatment of infrainguinal occlusive disease remains controversial. The availability of a wide range of therapeutic options and devices applicable to infrainguinal interventions has resulted in a dramatic increase in the number of peripheral endovascular procedures over the past decade, with a staggering reported 979 % growth in peripheral vascular interventions reported since 1995. Despite this remarkable growth and increasing acceptance, many questions remain unanswered regarding the indications, choice of device/technique, clinical efficacy, long-term outcome, and cost-effectiveness of the available competing modalities. These decisions are also compounded by intense and often conflicting marketing efforts by the industry in the current competitive market. With the scarcity of randomized controlled trials, much of the published reports for newer endovascular technologies rely primarily on immediate angiographic outcomes and target limb revascularization (TLR) data. The following text is meant to provide an overview over current treatment options, technologies, and devices based on available evidence and the experience and opinions of the authors. The endovascular surgeon must be familiar with all the available treatments for PAD in order to continue to manage these patients amidst the increasingly complex health-care environment.

Keywords

Angioplasty Vessel Stents CTO Cryoplasty 

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Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  • Melhem J. Sharafuddin
    • 1
  • Parth B. Amin
    • 1
  • Rachael M. Nicholson
    • 1
  • Jamal J. Hoballah
    • 2
    • 1
  1. 1.Division of Vascular Surgery, Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Division of Vascular Surgery, Department of SurgeryAmerican University of Beirut Medical CenterBeirutLebanon

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