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Original Article

Turk J Vasc Surg. 2022; 31(1): 25-32


Endovascular treatment versus femoropopliteal bypass surgery for TASC II type C lesions of the superficial femoral artery

Onur Saydam, Deniz Şerefli, Mehmet Atay, Ayşen Yaprak Engin.




Abstract

Objectives: In this study, we aimed to compare the outcomes of endovascular treatment (ET) and femoropopliteal artery bypass (FPB) in patients with Trans-Atlantic Inter-Society Consensus (TASC) II type C femoropopliteal lesions.
Patients and methods: A total of 149 patients with symptomatic TASC II type C femoropopliteal lesions who underwent invasive treatment between January 2012 and January 2017 were retrospectively analyzed. The patients were divided into two groups as the ET group (n=46; 34 males, 12 females; mean age: 64.3±10.3 years) and the FPB group (n=103; 82 males, 21 females; mean age: 62.9±8.2 years).
Primary and secondary patency rates at 6, 12, and 24 months were evaluated.
Results: The primary success rates for ET and FPB were 100%. Primary patency at 6, 12, and 24 months were 93.5%, 89.0%, 69.5%, respectively for ET and 86.4%, 81.5%, 72.8%, respectively for FPB (p>0.05). Secondary patency rates at 6, 12, and 24 months were 97.8%, 93.5%, %84.8, respectively for ET and 96.1%, 90.3%, 79.6%, respectively for FPB group (p=0.41). The length of hospital stay was significantly longer in the FPB group (p

Key words: Atherosclerosis, balloon angioplasty, endovascular procedures, femoropopliteal bypass, peripheral artery disease.






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