Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy)

Suzanne S Gisbertz; Gert-Jan de Borst; Tim Th C Overtoom; Frans L Moll; Jean-Paul P M de Vries

doi:https://doi.org/10.1177/1538574409347397

Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy)

Suzanne S Gisbertz, Gert-Jan de Borst, Tim Th C Overtoom, Frans L Moll, Jean-Paul P M de Vries

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

Abstract

OBJECTIVE: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstruct SFA was introduced.

METHODS: A prospective cohort study was initiated with 17 patients treated with cryoplasty of the SFA after remote endarterectomy. Indications for surgery were claudication (n = 12), rest pain (n = 3), or tissue loss (n = 2).

RESULTS: There were no technical failures. The Kaplan-Meier estimate of the primary and assisted primary patency rate after 1 year of follow-up was 74%. Secondary patency was 89%. Limb salvage was 100%. No aneurysmal degeneration and no other adverse events occurred during the follow-up.

CONCLUSIONS: This pilot study showed that cryoplasty after remote SFA endarterectomy is a safe procedure, with promising patency rates.

Original language	English
Pages (from-to)	20-4
Number of pages	5
Journal	Vascular and endovascular surgery
Volume	44
Issue number	1
DOIs	https://doi.org/10.1177/1538574409347397
Publication status	Published - Jan 2010
Externally published	Yes

Keywords

Aged
Arterial Occlusive Diseases/complications
Constriction, Pathologic
Cryosurgery/adverse effects
Endarterectomy/adverse effects
Female
Femoral Artery/pathology
Humans
Intermittent Claudication/etiology
Kaplan-Meier Estimate
Limb Salvage
Magnetic Resonance Angiography
Male
Middle Aged
Netherlands
Pilot Projects
Prospective Studies
Reoperation
Secondary Prevention
Time Factors
Treatment Outcome
Vascular Patency

Access to Document

https://doi.org/10.1177/1538574409347397

Cite this

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title = "Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy)",

abstract = "OBJECTIVE: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstruct SFA was introduced.METHODS: A prospective cohort study was initiated with 17 patients treated with cryoplasty of the SFA after remote endarterectomy. Indications for surgery were claudication (n = 12), rest pain (n = 3), or tissue loss (n = 2).RESULTS: There were no technical failures. The Kaplan-Meier estimate of the primary and assisted primary patency rate after 1 year of follow-up was 74%. Secondary patency was 89%. Limb salvage was 100%. No aneurysmal degeneration and no other adverse events occurred during the follow-up.CONCLUSIONS: This pilot study showed that cryoplasty after remote SFA endarterectomy is a safe procedure, with promising patency rates.",

keywords = "Aged, Arterial Occlusive Diseases/complications, Constriction, Pathologic, Cryosurgery/adverse effects, Endarterectomy/adverse effects, Female, Femoral Artery/pathology, Humans, Intermittent Claudication/etiology, Kaplan-Meier Estimate, Limb Salvage, Magnetic Resonance Angiography, Male, Middle Aged, Netherlands, Pilot Projects, Prospective Studies, Reoperation, Secondary Prevention, Time Factors, Treatment Outcome, Vascular Patency",

author = "Gisbertz, {Suzanne S} and {de Borst}, Gert-Jan and Overtoom, {Tim Th C} and Moll, {Frans L} and {de Vries}, {Jean-Paul P M}",

year = "2010",

month = jan,

doi = "https://doi.org/10.1177/1538574409347397",

language = "English",

volume = "44",

pages = "20--4",

journal = "Vascular and endovascular surgery",

issn = "1538-5744",

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Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy). / Gisbertz, Suzanne S; de Borst, Gert-Jan; Overtoom, Tim Th C et al.
In: Vascular and endovascular surgery, Vol. 44, No. 1, 01.2010, p. 20-4.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy)

AU - Gisbertz, Suzanne S

AU - de Borst, Gert-Jan

AU - Overtoom, Tim Th C

AU - Moll, Frans L

AU - de Vries, Jean-Paul P M

PY - 2010/1

Y1 - 2010/1

N2 - OBJECTIVE: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstruct SFA was introduced.METHODS: A prospective cohort study was initiated with 17 patients treated with cryoplasty of the SFA after remote endarterectomy. Indications for surgery were claudication (n = 12), rest pain (n = 3), or tissue loss (n = 2).RESULTS: There were no technical failures. The Kaplan-Meier estimate of the primary and assisted primary patency rate after 1 year of follow-up was 74%. Secondary patency was 89%. Limb salvage was 100%. No aneurysmal degeneration and no other adverse events occurred during the follow-up.CONCLUSIONS: This pilot study showed that cryoplasty after remote SFA endarterectomy is a safe procedure, with promising patency rates.

AB - OBJECTIVE: Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstruct SFA was introduced.METHODS: A prospective cohort study was initiated with 17 patients treated with cryoplasty of the SFA after remote endarterectomy. Indications for surgery were claudication (n = 12), rest pain (n = 3), or tissue loss (n = 2).RESULTS: There were no technical failures. The Kaplan-Meier estimate of the primary and assisted primary patency rate after 1 year of follow-up was 74%. Secondary patency was 89%. Limb salvage was 100%. No aneurysmal degeneration and no other adverse events occurred during the follow-up.CONCLUSIONS: This pilot study showed that cryoplasty after remote SFA endarterectomy is a safe procedure, with promising patency rates.

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KW - Cryosurgery/adverse effects

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KW - Femoral Artery/pathology

KW - Humans

KW - Intermittent Claudication/etiology

KW - Kaplan-Meier Estimate

KW - Limb Salvage

KW - Magnetic Resonance Angiography

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Pilot Projects

KW - Prospective Studies

KW - Reoperation

KW - Secondary Prevention

KW - Time Factors

KW - Treatment Outcome

KW - Vascular Patency

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DO - https://doi.org/10.1177/1538574409347397

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JO - Vascular and endovascular surgery

JF - Vascular and endovascular surgery

IS - 1

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