Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2022 , Vol 31 , Issue 1
Endovascular treatment versus femoropopliteal bypass surgery for TASC II type C lesions of the superficial femoral artery
Onur Saydam1, Deniz Şerefli1, Mehmet Atay2, Ayşen Yaprak Engin1
1Department of Cardiovascular Surgery, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
2Department of Cardiovascular Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
DOI : 10.9739/tjvs.2022.1067 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<0.001). The cost of treatment was significantly higher in the FBP group (p=0.02).

Conclusion: In TASC II type C patients, ET is a safe therapeutic option with lower in-hospital stay and treatment expenses and similar primary and secondary patency rates to FPB. Keywords : Atherosclerosis, balloon angioplasty, endovascular procedures, femoropopliteal bypass, peripheral artery disease

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