Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery

Background: The primary patency rate (PPR) is still controversial in angioplasty and heart bypass surgery for blood vessel repair and reconstruction in patients with femoropopliteal disease. Objectives: This study aimed to investigate the prolonged PPR rate in patients with stenosis/occlusion of the...

Full description

Bibliographic Details
Main Authors: Pezhman Farshidmehr, Roozbeh Cheraghali, Hossein Zabihi Mahmoudabadi, Mohammad Sadra Nazari, Ali Gilani, Ehsan Rahimpour
Format: Article
Language:English
Published: Baqiyatallah University of Medical Sciences 2021-01-01
Series:Hospital Practices and Research
Subjects:
Online Access:http://www.jhpr.ir/article_122192_bb6ebe456e63a0496fc203ea1be5936d.pdf
_version_ 1798032139889934336
author Pezhman Farshidmehr
Roozbeh Cheraghali
Hossein Zabihi Mahmoudabadi
Mohammad Sadra Nazari
Ali Gilani
Ehsan Rahimpour
author_facet Pezhman Farshidmehr
Roozbeh Cheraghali
Hossein Zabihi Mahmoudabadi
Mohammad Sadra Nazari
Ali Gilani
Ehsan Rahimpour
author_sort Pezhman Farshidmehr
collection DOAJ
description Background: The primary patency rate (PPR) is still controversial in angioplasty and heart bypass surgery for blood vessel repair and reconstruction in patients with femoropopliteal disease. Objectives: This study aimed to investigate the prolonged PPR rate in patients with stenosis/occlusion of the femoropopliteal artery undergoing superficial femoral artery (SFA) and popliteal angioplasty. Methods: A case series study population consisted of patients demonstrating femoropopliteal artery occlusion referred to Sina Hospital, Tehran, Iran for angiography during 2016-2018. After angiography, patients underwent either stent placement or balloon angioplasty in the case of stenosis/occlusion of femoropopliteal arteries. After angioplasty, patients were followed up in the 3rd, 12th, and 24th months for re-examination, and color Doppler ultrasonography of femoropopliteal arteries was also performed to measure the patency rate. The SPSS Statistics version 21.0 was used to analyze the data. The Kaplan–Meier method and a log-rank test were utilized to evaluate this rate. Results: Sixty patients were included in the study, from which 44 were women (73.3%) and 16 were men (26.6%) with a mean age of 69.9 years. Fifty-two, 41, and 29 patients were examined at intervals of 3, 12, 24 months, with PPRs of 86%, 79%, and 68%, respectively. There was a significant relationship between claudication degree and procedure success (P = 0.02). Conclusion: The prolonged PPR rate of patients after femoropopliteal artery angioplasty was acceptable and was a safe and effective treatment. For future studies, an increase in the number of study variables, a more comprehensive classification, and PPR-related variables are suggested.
first_indexed 2024-04-11T20:09:06Z
format Article
id doaj.art-48ba5e1e1aa14611a0a95af8a66ac833
institution Directory Open Access Journal
issn 2476-390X
2476-3918
language English
last_indexed 2024-04-11T20:09:06Z
publishDate 2021-01-01
publisher Baqiyatallah University of Medical Sciences
record_format Article
series Hospital Practices and Research
spelling doaj.art-48ba5e1e1aa14611a0a95af8a66ac8332022-12-22T04:05:11ZengBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2476-39182021-01-0161353810.34172/hpr.2021.07122192Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal ArteryPezhman Farshidmehr0Roozbeh Cheraghali1Hossein Zabihi Mahmoudabadi2Mohammad Sadra Nazari3Ali Gilani4Ehsan Rahimpour5Department of Vascular Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranGolestan University of Medical Sciences, Gorgan, IranDepartment of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Vascular Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranBackground: The primary patency rate (PPR) is still controversial in angioplasty and heart bypass surgery for blood vessel repair and reconstruction in patients with femoropopliteal disease. Objectives: This study aimed to investigate the prolonged PPR rate in patients with stenosis/occlusion of the femoropopliteal artery undergoing superficial femoral artery (SFA) and popliteal angioplasty. Methods: A case series study population consisted of patients demonstrating femoropopliteal artery occlusion referred to Sina Hospital, Tehran, Iran for angiography during 2016-2018. After angiography, patients underwent either stent placement or balloon angioplasty in the case of stenosis/occlusion of femoropopliteal arteries. After angioplasty, patients were followed up in the 3rd, 12th, and 24th months for re-examination, and color Doppler ultrasonography of femoropopliteal arteries was also performed to measure the patency rate. The SPSS Statistics version 21.0 was used to analyze the data. The Kaplan–Meier method and a log-rank test were utilized to evaluate this rate. Results: Sixty patients were included in the study, from which 44 were women (73.3%) and 16 were men (26.6%) with a mean age of 69.9 years. Fifty-two, 41, and 29 patients were examined at intervals of 3, 12, 24 months, with PPRs of 86%, 79%, and 68%, respectively. There was a significant relationship between claudication degree and procedure success (P = 0.02). Conclusion: The prolonged PPR rate of patients after femoropopliteal artery angioplasty was acceptable and was a safe and effective treatment. For future studies, an increase in the number of study variables, a more comprehensive classification, and PPR-related variables are suggested.http://www.jhpr.ir/article_122192_bb6ebe456e63a0496fc203ea1be5936d.pdfangioplastyfemoral arteryartery occlusionprimary patencystenosis
spellingShingle Pezhman Farshidmehr
Roozbeh Cheraghali
Hossein Zabihi Mahmoudabadi
Mohammad Sadra Nazari
Ali Gilani
Ehsan Rahimpour
Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery
Hospital Practices and Research
angioplasty
femoral artery
artery occlusion
primary patency
stenosis
title Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery
title_full Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery
title_fullStr Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery
title_full_unstemmed Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery
title_short Primary Patency Rate of Superficial Femoral Artery Angioplasty in Patients with Stenosis/Occlusion of Femoropopliteal Artery
title_sort primary patency rate of superficial femoral artery angioplasty in patients with stenosis occlusion of femoropopliteal artery
topic angioplasty
femoral artery
artery occlusion
primary patency
stenosis
url http://www.jhpr.ir/article_122192_bb6ebe456e63a0496fc203ea1be5936d.pdf
work_keys_str_mv AT pezhmanfarshidmehr primarypatencyrateofsuperficialfemoralarteryangioplastyinpatientswithstenosisocclusionoffemoropoplitealartery
AT roozbehcheraghali primarypatencyrateofsuperficialfemoralarteryangioplastyinpatientswithstenosisocclusionoffemoropoplitealartery
AT hosseinzabihimahmoudabadi primarypatencyrateofsuperficialfemoralarteryangioplastyinpatientswithstenosisocclusionoffemoropoplitealartery
AT mohammadsadranazari primarypatencyrateofsuperficialfemoralarteryangioplastyinpatientswithstenosisocclusionoffemoropoplitealartery
AT aligilani primarypatencyrateofsuperficialfemoralarteryangioplastyinpatientswithstenosisocclusionoffemoropoplitealartery
AT ehsanrahimpour primarypatencyrateofsuperficialfemoralarteryangioplastyinpatientswithstenosisocclusionoffemoropoplitealartery