Document Detail


Treatment of superficial femoral artery occlusive disease.
MedLine Citation:
PMID:  15179331     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this paper was to compile a literature summary of current treatment modalities for the treatment of superficial femoral arterial (SFA) disease. The English-language literature was searched for studies describing the treatment of SFA occlusive disease using surgical bypass (vein or prosthetic), percutaneous bypass (stent-grafts), bare stents, percutaneous transluminal angioplasty (PTA), and subintimal angioplasty (SA). Inclusion criteria for articles were presentation of primary patency rates, a minimum study population of 10, and baseline characteristics of the study population. Average primary and secondary patency rates for each treatment modality were obtained by weighting the results of each trial by the number of limbs treated. All identified papers were included in the summary, regardless of the study inclusion/exclusion criteria, comorbidities, or patient population. Since the study conditions and patient populations varied widely, this is not intended to be a meta-analysis or for use in directly comparing the efficacy of different treatment modalities; rather, it is to provide general information on their performance under the reported conditions. One hundred and twelve studies met the inclusion criteria for the 6 treatment modalities identified. Compilation of the data revealed different patient populations for the different treatment modalities. For example, PTA was generally used to treat short, stenotic lesions, while endografts and SA were generally used for longer, total occlusions. For this reason, patency rates for the different treatment modalities cannot be directly compared.
Authors:
V Dorrucci
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  45     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-04     Completed Date:  2004-08-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  193-201     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Umberto I Hospital, Venezia, Italy. vdorrucci@ulsss12.ve.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / radiography,  therapy*
Blood Vessel Prosthesis*
Endarterectomy / methods
Female
Femoral Artery*
Humans
Male
Middle Aged
Prognosis
Risk Assessment
Sensitivity and Specificity
Severity of Illness Index
Stents*
Surgical Procedures, Minimally Invasive / methods
Treatment Outcome
Vascular Surgical Procedures / instrumentation,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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