The results of endovascular intervention in treatment of stenosis/occlusion femoral-popliteal artery TASC C, D in elderly

Introduction: Endovascular intervention in the treatment of peripheral artery disease has become a rural method and shown positive results in the treatment of stenosis/occlusion of the femoral-popliteal artery TASC C, D, especially in the elderly. Objectives: Evaluating the results of endovascular intervention in the treatment of stenosis/occlusion of the femoral-popliteal artery TASC C, D in elderly patients. Methods: retrospective descriptive case series. Results: From June 2020 to June 2024, there were 83 cases of stenosis/occlusion of the femoral-popliteal artery TASC C, D; Average age 77.4 ± 7.4 years (65-99); 64 males (77.1%) and 19 females (22.9%); vascular lesions TASC C (43.4%), TASC D (56.6%), mean ABI was 0.5 ± 0.2. Technical success 97.5% (balloon angioplasty 3.6%, balloon angioplasty + stent 93.9%), failure 2.4%. Average intervention time 118 ± 17.3 minutes (90.5 – 135); Complications: hematoma in 9 cases (10.8%), 1 case of balloon rupture during dilation. The average post-intervention ABI was 0.8 ± 0.2. Wound healing rates at 3, 6, and 12 months after intervention were 92%, 96%, and 96%, respectively. Limb amputation: toe amputation 6%, Chopart disarticulation 1.2%, no amputation at calf or thigh level. Conclusion: Endovascular intervention in treatment of stenosis/occlusion of stenosis/occlusion of the femoral-popliteal artery TASC C, D, especially for the elderly has a high technical success rate, significantly improves blood circulation, reduces the severity of pain and amputation rate.