000K  utf8
1100  2019$c2019-01-11
1500  eng
2050  urn:nbn:de:hbz:464-20190320-154304-1
2051  10.1177/2050313X18823445
3000  Rammos, Christos
3010  Lortz, Julia
3010  Radecke, Tobias
3010  Rassaf, Tienush
3010  Steinmetz, Karl Martin
4000  Guidelines adherence or chronic total occlusion recanalization of the superficial femoral artery with a stentless approach$dThe next frontier?  [Rammos, Christos]
4209  In patients with intermittent claudication and long chronic total occlusions of the superficial femoral artery, a primary surgical bypass or stenting is recommended. However, due to the invasive nature, high complication rates and patient-related comorbidities, surgery is currently not the preferred method and full lesion stenting for long chronic total occlusions has the obvious consequences of permanent metallic implants. We report a case of a patient with a long chronic total occlusion of the superficial femoral artery with intermittent claudication. Endorsing an endovascular-first strategy, he was treated via an antegrade and retrograde approach with a complete recanalization and a stentless treatment with rotational atherectomy and drug-coated balloons. We believe this is a feasible endovascular strategy for the treatment of long chronic total occlusions of the superficial femoral artery for patients refusing open surgery. Further investigations are needed to evaluate long-term clinical outcomes of these novel techniques.
4950  https://doi.org/10.1177/2050313X18823445$xR$3Volltext$534
4950  https://nbn-resolving.org/urn:nbn:de:hbz:464-20190320-154304-1$xR$3Volltext$534
4961  https://duepublico2.uni-due.de/receive/duepublico_mods_00048451
5010  61
5051  610
5550  atherectomy
5550  chronic total occlusion
5550  drug-coated balloon
5550  Superficial femoral artery