Endovascular Versus Open Surgical Reconstruction In Long Segment Superficial Femoral Artery Occlusive Disease

Abstract

Percutaneous transluminal angioplasty (PTA) has obtained a definite place in the management of peripheral arterial occlusive disease of the lower limb, it was widely accepted as a first line of treatment for many patients with femoropopliteal occlusive disease. The low complication rate and relatively non invasive nature of PTA made it an increasing popular intervention. The concept of endovascular intervention has been well supported by the continuous advance in technology. The rapid evolution of stent design, deployment approaches and adjunctive therapy made the practice of PTA safer and more predictable and has reduced the incidence of procedure related adverse events, particularly the need for emergency surgery. This study was designed to assess the following:  Determine the early and intermediate results of angioplastyand stenting for femoropopliteal occlusive disease.  Compare between endovascular management and open surgeryof TASC C lesions of femoropopliteal occlusive disease.  Assess the factors affecting the results of angioplasty andstenting in femoropopliteal disease.