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Subintimal Angioplasty as a Treatment of Femoropopliteal

Montefiore Medical Center and Albert Einstein College of Medicine, New York, NY; FJVMD{at}msn.com

Evan C. Lipsitz, MD

Montefiore Medical Center and Albert Einstein College of Medicine, New York, NY

The authors describe their experience with treating 109 patients with intermittent claudication (78) and critical ischemia (46) by the use of subintimal recanalizations of above-knee femoropopliteal occlusions. Data was entered into a computerized registry and all cases were reviewed. Comorbidities, indication, runoff, and occlusion length was compared with patency by statistical analysis. The authors report technical success rate of 90% but a low assisted patency rate of 37% by 12 months of follow-up. They conclude that subintimal angioplasty is an alternative to open surgery for patients with femoro-popliteal occlusions and intermittent claudication but is contraindicated in the treatment of critical ischemia except in cases where the patient is not able to have surgical treatment.

Key Words: claudication • ischemia • subintimal angioplasty • femoropopliteal occlusion

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 16, No. 1, 85-86 (2004)
DOI: 10.1177/153100350401600125


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