Fatih Avni Bayraktar, Mehmet Senel Bademci, Cemal Kocaaslan, Ebuzer Aydin, Emre Selcuk

Yüzeyel Femoral Arterin İzole Total Oklüzyonunda Rotasyonel Aterektomi ve İlaç Kaplı Balon Kombine Kullanımının Uzun Dönem Sonuçları

Amaç: Bu çalışmada yüzeyel femoral arterin (YFA) izole total oklüzyonunda rotasyonel ate- rektomi (RA) ve ilaç kaplı balon (İKB) ile kombine tedavinin uzun dönem sonuçlarını değer- lendirmek amaçlanmıştır. Gereç ve Yöntemler: Retrospektif çalışmamız Şubat 2016—Ocak 2018 döneminde gerçek- leştirildi ve izole total YFA oklüzyonu olan 20 hastanın toplam 23 uzvunu içerdi. Demografik ve klinik özelliklere dair hasta verileri hastane kayıtlarından elde edildi. Hastalığın evresi Rut- herford sınıflamasına göre sınıflandırıldı. Ayak bileği–kol indeksi müdahaleden önce ve sonra ölçüldü. Bulgular: Hastaların 19’u (%95) erkek, 1’i (%5) kadındı. Ortalama hasta yaşı 67,40±7,50 (49–77) yıl idi. Preoperatif Rutherford sınıflamasına göre, 4 (%17,40) uzuvda evre 5, 8 (%34,80) uzuvda evre 4, 11 (%47,80) uzuvda evre 3 hastalık mevcuttu. Bir yıllık ve iki yıllık hedef lezyon revaskü- larizasyonundan kurtulma oranları sırasıyla %82,61 ve %69,57 idi. Tartışma ve Sonuç: Çalışma sonuçlarımız RA ve İKB ile kombine tedavinin kalsifik plak yükü fazla olan YFA lezyonlarında gerek yüksek primer açıklık ve yüksek hedef lezyon revasküla- rizasyonundan kurtulma oranları gerekse düşük komplikasyon oranları ile etkili bir yöntem olduğunu göstermektedir.

Long-term Results of the Combined Use of Rotational Atherectomy and Drug-Coated Balloon in Isolated Total Occlusion of the Superficial Femoral Artery

Aim: In this study, we aimed to evaluate the long-term results of combined treatment with rotational atherectomy (RA) and drug-coated balloon (DCB) in isolated total occlusion of the superficial femoral artery (SFA). Materials and Methods: The retrospective study was conducted between February 2016 and January 2018 and included a total of 23 limbs of 20 patients with isolated total occlusion of the SFA. Patient data on demographic and clinical characteristics were obtained from the hospital records. The stage of the disease was classified according to the Rutherford classifi- cation. The ankle–brachial index was measured pre- and postoperatively. Results: Of the patients, 19 (95%) were male and one (5%) was female. The mean patient age was 67.40±7.50 (49–77) years. According to the preoperative Rutherford classification, there were 4 (17.40%) limbs with stage 5 disease, 8 (34.80%) limbs with stage 4 disease, and 11 (47.80%) limbs with stage 3 disease. The rates of one- and two-year freedom from target lesion revascularization were 82.61% and 69.57%, respectively. Discussion and Conclusion: Our study results showed that combined treatment with RA and DCB was an effective method in SFA lesions with a high calcified plaque burden, providing high rates of primary patency and freedom from target lesion revascularization as well as low rates of complication.

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