Abstract
The authors describe their experience with treating 109 patients with intermittent claudication (78) and critical ischemia (46) by the use of subintimal recanalizations of above-knee femoropopliteal occlusions. Data was entered into a computerized registry and all cases were reviewed. Comorbidities, indication, runoff, and occlusion length was compared with patency by statistical analysis. The authors report technical success rate of 90% but a low assisted patency rate of 37% by 12 months of follow-up. They conclude that subintimal angioplasty is an alternative to open surgery for patients with femoro-popliteal occlusions and intermittent claudication but is contraindicated in the treatment of critical ischemia except in cases where the patient is not able to have surgical treatment.
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