Naslov
Intrigue of IR treatment of femoropoplieteal segment

Autori
Vidjak, Vinko ; Blašković, Darko ; Sertić Milić, Helga ; Matijević, Filip ; Matković, Andro

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
7. kongres Hrvatskog društva radiologa: knjiga sažetaka / - Zagreb : Hrvatsko društvo radiologa, 2018, 1-1

Skup
7. kongres Hrvatskog društva radiologa ; 3. hrvatski neuroradiološki sastanak

Mjesto i datum
Split, Hrvatska, 04.10.2018. - 07.10.2018

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
femoropopliteal segment ; atherosclerotic changes ; interventional radiology

Sažetak
The femoropopliteal segment (FPS) with atherosclerotic changes has been raising doubts concerning treatment approach and way of treatment for years. Its specificity in relation to the proximal SFA has been intriguing during decision making: if endovascular, how to treat it? The first results of SFA patency and complications using the simplest endovascular technique (PTA) opened the bare stent (BS) era. From the results of M. Schillinger and the Absolut study, FAST Study, ... to the latest with drug tech. (DCB and DES). Stent fractures are not negligible facts. Today's results of DCB and DES use (freedom from clinically driven, drug-eluting stent-primary patency / major adverse events, no stent fractures, freedom from target lesion revascularisation) are encouraging. However, additional techniques (atherectomy, thrombectomy, ...) have significance, so TASC B, C and D lesions do not represent „insurmountable“ obstacles. The era of nitinol and covered stents are complemented by patency results of the use of "wire interwoven" stents which are characterised by fracture absence. Also, segmentally positioned stents are very important facts in FP segment patency. Of course, combinations of techniques are important with the knowledge of calcification changes in the FP artery wall and in the use of stents and atherectomies. Significant number of studies neglects the number / proportion of pts of severe categories (R5-6), knowledge of "safety" DCB / DES in pts with ulcers and gangrene, quality of life (painless walking line, time needed for wound repair, ... reduction of hospital visits and costs, ..), which are possible limitations in the conclusions. Thus, with so many treatment options, it is not surprising to be confused in choosing the most accurate approach and treatment technique for atherosclerotic changes in the FP segment.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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