The Endovascular Options For Management of Superficial Femoral Artery Osteal Occlusions

Abstract

Background: Endovascular intervention is now the primary line of treatment for patients with critical limb ischemia.
Nevertheless, endovascular experts face several obstacles with these treatments due to the existence of broad multilevel
lesions, osteal lesions, and lengthy and entire chronic occlusive lesions.
Aim of this work: Evaluation the different endovascular techniques of management the superficial femoral artery
osteal lesions in cases with critical limb ischemia or incapacitating claudication.
Patients and Methods: This is a prospective study of 55 patients who presented to Beni Suef University Hospitals’
vascular surgery unit between January 2020 and December 2021. Patients with symptomatic atherosclerotic occlusive
disease of the osteal region of SFA are included in the research.
Results: Technical success was done in 92.7% of cases. Figure (4) shows that;the mean hospital stay of cases in this
study was 1.53 ± 0.81 days with range (1.0 – 4.0).Follow up at 1 and 3 months revealed that; patency was kept in 51
(100%), 49 (96.07%) and 40 (78.43%) of all technical successful cases in one, three and six months respectively.
Conclusion: Endovascular treatments show promising prospects as treatment options for SFA atherosclerotic occlusive
disorders, particularly when osteal lesions are present. Endovascular intervention techniques, facilities, and expertise
have greatly improved, resulting in a high technical success rate and a high proportion of lower limb patency in CLI
patients.