Yilmaz S, Sindel T, Ceken K, Alimoğlu E, Lüleci E
Department of Radiology, Akdeniz University School of Medicine, Arapsuyu 07070, Antalya, Turkey.
Cardiovasc Intervent Radiol. 2001 May-Jun;24(3):154-60. doi: 10.1007/s002700001751.
To investigate the value of the retrograde popliteal artery approach for the percutaneous intentional extraluminal recanalization (PIER) of long superficial femoral artery (SFA) occlusions.
During a period of 17 months, PIER through ultrasound-guided retrograde popliteal artery puncture was performed for 39 long SFA occlusions in 37 patients. In six patients, six additional iliac artery stenoses were also treated via the popliteal approach.
The procedure was technically successful in 32 (82%) of 39 SFA occlusions; in 29, lesions were treated with balloon angioplasty alone, and in three, stents were also used. Cumulative patency rate was 66% at 6 months, 62% at 1 year, and 59% at 18 months. Additional iliac artery stenoses were successfully treated in the same session. Complications included two minor hematomas and two SFA ruptures, which required no treatment.
PIER through retrograde popliteal puncture is a safe and effective method in the treatment of long femoropopliteal occlusions, with a high technical success, low complication rate and a reasonable short-term patency rate. The technique offers an alternative in cases where standard PIER is unsuccessful or contraindicated.
探讨逆行腘动脉入路在长段股浅动脉（SFA）闭塞经皮腔内再通术（PIER）中的应用价值。
在17个月的时间里，对37例患者的39处长段SFA闭塞进行了经超声引导逆行腘动脉穿刺的PIER治疗。其中6例患者的6处髂动脉狭窄也通过腘动脉入路进行了治疗。
39处SFA闭塞中有32处（82%）手术技术成功；29处病变仅行球囊血管成形术，3处同时使用了支架。6个月时累积通畅率为66%，1年时为62%，18个月时为59%。同期成功治疗了额外的髂动脉狭窄。并发症包括2例轻微血肿和2例SFA破裂，均无需治疗。
经逆行腘动脉穿刺的PIER是治疗长段股腘动脉闭塞的一种安全有效的方法，技术成功率高，并发症发生率低，短期通畅率合理。该技术为标准PIER不成功或禁忌的情况提供了一种替代方法。
