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• W4220943544 abstract "Endovascular therapy is the first choice for femoropopliteal occlusive disease treatment in most cases. Multiple factors are known to affect the outcomes of endovascular therapy, including lesion anatomy and distal runoff status. Information regarding the influence of runoff status on the outcomes of superficial femoral artery (SFA) interventions is still scarce and has not been well studied in the current literature. The aim of the present study was to investigate the effect of the runoff score on the outcomes of endovascular SFA interventions. We performed a retrospective analysis of outcomes after SFA endovascular interventions for critical limb ischemia in a single tertiary center. Patients with Rutherford ischemia categories 4 to 6 were included. The modified SVS runoff score was recorded. After calculating the scores for the popliteal and all tibial vessels, runoff was stratified into categories: good (score, <5), compromised (score, 5-10), and poor (score, >10). Amputation-free survival, patency, and overall survival rates were compared between all groups at 5 years. Between 2011 and 2018, 254 procedures were performed in 220 patients. Technical success was >92%. Of the patients, 66 had required SFA stents and 55 had undergone concomitant tibial angioplasty. No significant differences were found in the complication rates between the good, compromised, or poor runoff groups, with 3.5% overall perioperative mortality (five cases in the compromised group and four cases in the poor runoff group). A runoff score of <5 was associated with significantly marked clinical improvement (P < .001). The patency rates were significantly worse in the compromised and poor runoff groups, with 5-year primary patency rates of 80%, 50%, and 22% in the good, compromised, and poor runoff groups, respectively (P < .001). Amputation-free survival worsened as the runoff score worsened, with a rate of 98%, 91%, and 78% in the good, compromised, and poor runoff groups at 5 years, respectively (P < .001). SFA stenting and concomitant tibial angioplasty led to a slight improvement in patency in the poor runoff group. Poor runoff with a score >10 was associated with significantly reduced amputation-free survival and patency at 5 years for patients undergoing SFA endovascular intervention for chronic limb ischemia. Patients with a runoff score of <5 showed marked clinical improvement postoperatively compared with patients with a runoff score of ≥5." @default.
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• W4220943544 date "2022-04-01" @default.
• W4220943544 modified "2023-10-18" @default.
• W4220943544 title "Impact of Runoff Quality on Superficial Femoral Artery Endovascular Interventions: The Good, the Bad, and the Ugly" @default.
• W4220943544 doi "https://doi.org/10.1016/j.jvs.2022.01.046" @default.
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