Value of Retrograde Approach for the Endovascular Treatment of Symptomatic Femoro popliteal Disease

Document Type : Original Article

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Department of Vascular surgery, faculty of medicine, Aswan University

Abstract

Abstract
Background: Retrograde approach is recognized for its utility in the endovascular treatment of symptomatic femoropopliteal disease. Although reports suggest its effectiveness, there remains a need for comprehensive evaluation of its long-term outcomes.
Objectives: Study aimed to investigate the safety profile, access site complications, and long-term patency rates associated with this approach in patients undergoing EVT for symptomatic femoropopliteal artery diseases.
Patients and Methods: This study was a prospective randomized controlled study that was performed on 25 patients recruited from vascular surgery department, Aswan University hospital who underwent retrograde approach for endovascular treatment for femoral-popliteal disease. Key outcomes assessed included access site complications, Ankle-Brachial Index (ABI) measurements pre- and post-intervention, and primary patency rates at follow-up.
Results: Results indicated that There was high significant variance between the primary patency rate pre and post intervention in the study participants groups. There was a distinction among study participants in terms of angiographic variables related to directional atherectomy, localization, sheath, as well as microcatheter
Conclusion: retrograde approach in endovascular treatment of femoropopliteal stenosis diseases appears to be a safe and effective technique, with favorable patency rates and manageable complication risks
Keywords: Retrograde approach, endovascular treatment, femoropopliteal disease, patency rates, access site complications.

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