Refining the Antegrade Approach in Endovascular Treatment of Femoropopliteal Disease: Impact of Patient Comorbidities on Clinical and Procedural Outcomes—A Single-Center Experience
Galal, A., Youssif, M., Fathy, A. (2025). Refining the Antegrade Approach in Endovascular Treatment of Femoropopliteal Disease: Impact of Patient Comorbidities on Clinical and Procedural Outcomes—A Single-Center Experience. EKB Journal Management System, (), -. doi: 10.21608/aumj.2025.374114.1224
Ali Mahmoud Galal; Mustafa Mahmoud Youssif; Ahmed Khalaf Fathy. "Refining the Antegrade Approach in Endovascular Treatment of Femoropopliteal Disease: Impact of Patient Comorbidities on Clinical and Procedural Outcomes—A Single-Center Experience". EKB Journal Management System, , , 2025, -. doi: 10.21608/aumj.2025.374114.1224
Galal, A., Youssif, M., Fathy, A. (2025). 'Refining the Antegrade Approach in Endovascular Treatment of Femoropopliteal Disease: Impact of Patient Comorbidities on Clinical and Procedural Outcomes—A Single-Center Experience', EKB Journal Management System, (), pp. -. doi: 10.21608/aumj.2025.374114.1224
Galal, A., Youssif, M., Fathy, A. Refining the Antegrade Approach in Endovascular Treatment of Femoropopliteal Disease: Impact of Patient Comorbidities on Clinical and Procedural Outcomes—A Single-Center Experience. EKB Journal Management System, 2025; (): -. doi: 10.21608/aumj.2025.374114.1224

Refining the Antegrade Approach in Endovascular Treatment of Femoropopliteal Disease: Impact of Patient Comorbidities on Clinical and Procedural Outcomes—A Single-Center Experience

Aswan University Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 05 May 2025  XML
Document Type: Original Article
DOI: 10.21608/aumj.2025.374114.1224
View on SCiNiTO View on SCiNiTO
Authors
Ali Mahmoud Galal1; Mustafa Mahmoud Youssif email 2; Ahmed Khalaf Fathy3
1Vascular surgery, faculty of medicine,Aswaan university
2Vascular surgery Aswan University Hospitals
3Vascular surgery, faculty of medicine, Aswan university
Abstract
Abstract
Background:
Atherosclerotic peripheral artery disease (PAD) significantly affects the elderly, with intermittent claudication as its most common symptom. Superficial femoral and popliteal arteries are frequently involved, and although endovascular treatment (EVT) via an antegrade approach is increasingly favored over surgery, concerns remain about restenosis rates and its predictors.
Objectives:
The study aimed to determine the overall primary patency rate after EVT using the antegrade approach in patients with femoro-popliteal disease and to evaluate whether patient comorbidities and disease location influence patency rate.
Methodology:
A prospective study recruited 25 patients (aged 45–70) with superficial femoral or popliteal artery disease. Patients underwent EVT via an antegrade common femoral artery approach. Clinical follow-up, including clinical and duplex examinations, was performed at 3, 6, and 12 months.
Results:
ABI significantly improved from 0.64 ± 0.28 pre-intervention to 0.82 ± 0.27 post-intervention (p < 0.001). Primary patency rates were 92% at 3 months, 80% at 6 months, and 68% at 12 months, with no significant differences noted based on comorbidities or lesion site.
Conclusions:
The antegrade EVT approach is both safe and effective for femoro-popliteal disease, although further larger studies are required to confirm the lack of significant predictors of patency
Keywords
Peripheral Arterial Disease; Antegrade Approach; Endovascular Treatment; Primary Patency; Stenosis
Statistics
Article View: 41