Abstract
Peripheral artery disease (PAD) is one of the most common diseases affecting quality of life. Claudication is the most frequent sign. If left untreated, PAD may cause serious daily life disturbances and may cause extremity losses, especially in elderly and diabetic patients. Restoration of blood flow from the aorta to the femoral arteries and from the femoral arteries to the popliteal arteries necessitates complex operational procedures. Most of these patients have concomitant coronary diseases. In such patients, open surgical repair with vascular grafts by the aid of general anesthesia increases both mortality and morbidity. Although femoral arteries are the most common site for PAD, iliac impairment is not so rare. In patients with combined iliac and femoral artery diseases, popliteal artery approach is a safe and effective technique for percutaneous revascularization. In this chapter, we share our experience with interventional percutaneous revascularization through popliteal approach, mainly using drug eluting balloons and stents, by the aid of mechanical thrombectomy devices with the highlights of current literature review.
Highlights
Peripheral artery disease (PAD) is third most common cause of cardiovascular mortality and mortality worldwide, following coronary artery disease and stroke [1]
The exact number of patients suffering from PAD is unknown, it is commonly agreed that there is a global increase in the amount of patients mainly by increased age and life expectancy of the populations, mainly
Patients with distal disease had poorer prognosis compared with patients without distal disease, independent of age, sex, comorbid conditions, medication use and resting ankle-brachial index (ABI), whereas patients with proximal disease showed no difference in prognosis after similar adjustment compared with patients without proximal disease. These findings suggest PAD is complex and heterogeneous and not a uniform entity [10]
Summary
PAD is third most common cause of cardiovascular mortality and mortality worldwide, following coronary artery disease and stroke [1]. The exact number of patients suffering from PAD is unknown, it is commonly agreed that there is a global increase in the amount of patients mainly by increased age and life expectancy of the populations, mainly. 28 Peripheral Arterial Disease - A Practical Approach in underdeveloped countries. Fowkes et al reported that there were 202 million people estimated to suffer from PAD, with a stronger change in the prevalence of low- and middleincome countries [1]. Patients with diabetes mellitus and smoking habits are under great risk for PAD. Hyperlipidemia or hypertension is less likely to be the predisposing factors for the development of PAD. Intermittent claudication (IC) is the most common symptom factor affecting quality of life. In order to improve walking distance, and prevent extremity losses, a wide variety of treatment strategies are offered including lifestyle changes, medical therapy, supervised exercise therapy, interventional procedures and surgical revascularization
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