Long-term prognosis analysis of femoral popliteal artery occlusion angioplasty

Abstract

Objective To investigate the effect of femoral popliteal artery occlusion angioplasty on long-term prognosis of femoropopliteal artery oclusion, and to provide reference for clinical treatment. Methods From January 2010 to January 2012, the clinical data of 73 patients (81 limbs) with femoral popliteal artery occlusion were retrospectively analyzed. The patients were divided into two groups according to the different surgical methods. The patients in observation group (42 cases, 49 limbs) were treated by endovascular forming therapy and the patients in control group (31 cases, 32 limbs) underwent bypass surgery. The perioperative indicators and ankle brachial index(ABI) of the two groups were compared. The patients were followed up for 12 to 36 months. The primary and secondary patency rates, limb salvage rates of the the two groups were observed. Results The operative time, blood loss, postoperative recovery of walking time of the observation group were lower than those of the control group, the differences were significant(P 0.05); the secondary patency rate and limb salvage rate of the observation group was 79.55% and 84.09%, respectively, which were higher than those of the control group (P<0.05). Conclusions Endovascular angioplasty is helpful to promote the femoral popliteal artery occluded cavities in patients with early rehabilitation, and significantly improve the long-term prognosis of patients, it is worth clinical attention. Key words: Femoropopliteal artery occlusion; Endovascular angioplasty; Bypass flow; Long term prognosis