Mohamed Farouk, M.D.* and Wael Naeem Thabet Aziz, M.D.**
Mohamed Farouk, M.d.* and Wael Naeem Thabet Aziz, M.D.**
Haitham Akram Saimeh
Haitham Akram Saimeh
Mohamed Hamed Abouelfadl, MD. (1), Mahmoud M. Marei, MD. (1), Moutaz Ragab, MD(1), Ahmed Arafa Elsayed Rawash, MD. (1), Wesam Mohamed Mahmoud, MD. (1), Siham Anwer Imam, MD.(1&2), Ahmed Abdelhaseeb Youssef, MD(3), Tamer Yassin Mohamed Yassin, MD. (1)
Ashraf Kamal Abdalla, M.D. * ; Amr Mohamed EL Hefny, M.D.* ; Khaled Ahmed Reyad, M.D.** ; Noura Omar Mohamed, M.B.B.CH. **;
Sherif M. Mokhtar, Hasan Abouelnaga, Wael Lolah, Salma Dowara, Emad Khallaf
Ali Mohamed. A. Saleh , M.D ,CAIRO *, Arafat Ali Mohammed Al-absi , M.B.B.Ch
Sherif M. Mokhtar, HasanAbouelnaga, Wael Lolah, Salma Dowara, Emad Khallaf
Ahmed Maher AbdElmonim, RehamEltatawy, Ayman S. El-Din Helmy, Mohamed Hassan Ali Fahmy, Mohammed Elshal
Ahmed Qasem Mohamed,1 Essam Eldeen M.O. Mahran2
Hosam El Dein Said Hesain
Ramy Mikhael Nageeb,1 Hatem ElGohary, MD;2 Mohamed Gamal, MD3
Mohamed Saber Mostafa, Mohamed Elsayed Elshaaer, Aly Elshehry
Ahmed Samir Hosny, MD; El-Sayed A. Abd El-Mabood, MD; Amro Abdel Reheem, MD
Observational analysis of Endovascular complications of superficial femoral artery diseases (Prospective Study)
Purposes: For observing the most common obstacles or complications that were in need for immediate intervention during endovascular treatment of superficial femoral artery diseases, and how to deal with.
Background: Endovascular intervention of superficial femoral artery (SFA) diseases has been introduced new types of complications. Rapid identification of complications allows rapid remediation and improving outcomes. Patients and methods: This is a retrospective observational cohort study that was conducted over a period of 4 years on complicated 120 patients of femoral artery disease that underwent immediate endovascular intervention. Patients were classified according to type of SFA lesions(stenosis , occlusion, aneurysm) and anatomical segment of SFA involved ( either proximal, or distal ),association with popliteal and tibial arteries diseases). Results: Distal SFA lesions are more than twice encountered than proximal SFA lesions. The proximal SFA failed endovascular management is more common than the distal SFA. The proximal SFA lesions are less likely to be dealt with endovascular in comparison to the distal SFA lesions P-value; 0.03. The common complications are the flow limiting dissections(26.8%), thrombosis(24.7%) ,and residual stenosis > 30( 19.4%).Complications that was in need for immediate intervention were reported as 1% to 27%. Emergency surgery was used for complicated proximal SFA and in failed endovascular intervention for the distal segment complications; P-value; 0.01. Technical success was reported in 96.6% after endovascular intervention & 61.5% after Surgical treatment; P-value; 0.04. Conclusion: Complications of endovascular intervention of SFA may have devastating outcomes that can threaten limb and life. The proximal SFA failed endovascular management is more common than the distal SFA. The proximal SFA lesions are less likely to be dealt with endovascular in comparison to the distal SFA lesions Adequate awareness of these complications, how frequent it affects the proximal and distal SFA lesions, will allow achieving excellent technical ,and clinical outcomes. New endovascular technologies can improve the safety and efficacy of revascularization procedures.
Key words: Endovascular intervention, SFA Disease, Complications.