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Abstract
The aim is to evaluate the role of endovascular interventions in treatment of flush superficial femoral (SFA) occlusion in patients with critical limb ischemia (CLI) with one year follow up. Our study included 43 patients with atherosclerotic flush SFA occlusion. Patients with non - salvageable limbs, acute ischemia, trauma, aneurysms, connective tissue disorders and arteritis were excluded. All patients had CLI (Rutherford 4 to 6) access used was contralateral femoral access, ipsilateral femoral access, and retrograde popliteal access. Mean patients{u2019} age was 63 years, male to female ratio 3:1. Patients{u2019} presentation was rest pain, minor tissue loss, and major tissue loss in 7, 27, 9 patients respectively. The access used was contralateral femoral access in 37 patients, ipsilateral femoral access in 2 patients, and retrograde popliteal access in 4 patients. Stents were used in 24 patients (73%). Technical success achieved in 33 patients (77%). 7 cases were converted to surgery (16.2%). overall mortality during follow up 3 patients (6.8%) not related to the procedure. Flush SFA occlusion can be treated by endovascular intervention with safe and accepted outcome through antegrade or retrograde access