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Master Thesis

Résultats de 81 procédures de recanalisations fémoro-poplitées longues par la technique de safari au CHU de Caen

Abstract : Introduction. This is a retrospective, monocentric, observational study of the long term outcome of endovascular management of TASC C and D femoropopliteal occlusions using the SAFARItechnique. Material and method. 81 procedures over 77 patients of 80.4 years on average were conducted between October 2012 and January 2017 at CHU de Caen. Before each procedure, an anterograde recanalization attempt was made. The retrograde puncture was performed on below the knee vessels. The primary endpoint was primary patency at 1 and 5 years. Secondary endpoints were: procedural success, secondary patency, TLR, TER, local complication rate, 30 day and overall mortality, cardiovascular events during the followup and limb salvage rate. Results. Of 77 patients, 68.8% was in permanent chronic ischemia and 31.2% with claudication. The procedural success rate was 9 7.5%. Primary patency at 1 year was 71.8% and 44.3% at 5 years. Secondary patency was 79,8% at 1 year and 68.4% at 2 years. TLR indemnity rate was 59,6% at 5 years. TER indemnity rate was 75.8% at 5 years. Mortality at 30 day was 7.8%. Mortality at followup was 46.8%. The local complication rate was 11.1%. The cardiovascular event rate was 8.9%. The salvage limb rate was 96.1%. Conclusion. Long femoro popliteal recanalization fails in 20% of cases by anterograde access. The use of the SAFARI technique seems feasible, safe and can improve this failure rate.
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Master Thesis
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Rachid Inaflas. Résultats de 81 procédures de recanalisations fémoro-poplitées longues par la technique de safari au CHU de Caen. Médecine humaine et pathologie. 2019. ⟨dumas-02498599⟩

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