1. Subintimal angioplasty SFA 148 patients
University of Rome, Italy
Maresca L , Gandini R
CIRSE page 316

2. Long SFA occlusoins > 10 cms
Severe claudication or
Chronic limb ischaemia
91 male, 57 female
Mean age 71.3 years
Gandini et al CIRSE 2006

3. 75 claudicants
22 rest pain
51 gangrene
Gandini et al CIRSE 2006

4. 139 antegrade approach
3 retrograde popliteal
6 combined
Gandini et al CIRSE 2006

5. Technical success 93.5
Resolution rest pain claudication 83/97 (85%)
Resolution gangrene 40/51 (78%)
6 pts minor amputation
Gandini et al CIRSE 2006

6. Follow up 13.3 months Mean Patency 122/148 82%
Gandini et al CIRSE 2006

7. LIFE-STYLE LIMITING CLAUDICATION
KEY POINTS
80% IMPROVE with Best Medical Therapy
Conservative mgmt remains the treatment plan of choice
If intervention : Endovascular
Transluminal / Subintimal
Failed endovascular : consider bypass
autogenous vein bypass is the best

8. Life style limiting Claudication

9. LIFE-STYLE LIMITING CLAUDICATION
MD 69 yrs
Bilateral claudication L>R
No pulses palpable below femorals
ABI’s : 0.35(R) 0.42(L)

10. LIFE-STYLE LIMITING CLAUDICATION

11. LIFE-STYLE LIMITING CLAUDICATION

12. LIFE-STYLE LIMITING CLAUDICATION

14. LIFE-STYLE LIMITING CLAUDICATION (CASE 2)

15. Limb salvage

16. Post subintimal