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Journals / Eastern Journal of Medicine / 2022 / Cilt: 27 - Sayı: 1

Superficial Femoral Artery Mirror Lesions; Risk Factors, Diagnosis, and Clinical Presentation

Emrah ERDOĞAN
Ender Özgün ÇAKMAK
Elmin İMANOV
Ayhan TOSUN
Ali Furkan TEKATLI
Çetin GEÇMEN
Şeyhmus Külahcıoğlu
Regayip ZEHİR
Mesut ŞİŞMANOĞLU
Cengiz KÖKSAL
Pages
15–21
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Additional iliac lesions (p = 0.003) and below-knee lesions (p

📌 3 Key Takeaways

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Objective & Hypothesis:Two-sided atherosclerotic involvement of peripheral arteries is common in clinical practice; however, the data about it in the literature is limited.
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Key Findings & Data:Between January 2015 and April 2020, 167 patients with symptomatic total SFA occlusions were retrospectively analyzed.
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Conclusion & Impact:Additional iliac lesions (p = 0.003) and below-knee lesions (p
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Two-sided atherosclerotic involvement of peripheral arteries is common in clinical practice; however, the data about it in the literature is limited. This study aimed to investigate the frequency, clinical characteristics, and predictors of bilateral symmetric total superficial femoral artery (SFA) occlusions (mirror lesions). Between January 2015 and April 2020, 167 patients with symptomatic total SFA occlusions were retrospectively analyzed. Unilateral and bilateral SFA occlusions were determined, and the risk factors and clinical presentation were investigated between the two groups. Among 167 patients, 95 (57%) had bilateral SFA lesions, and 30 (18%) presented with critical limb ischemia (CLI). In the bilateral SFA occlusion group, male sex was dominant (p=0.002), and peripheral artery disease (PAD) history was higher (p=0.030). Additional iliac lesions (p = 0.003) and below-knee lesions (p

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Cite This Article

ERDOĞAN, E., ÇAKMAK, E. Ö., İMANOV, E., TOSUN, A., TEKATLI, A. F., GEÇMEN, Ç., Külahcıoğlu, Ş., ZEHİR, R., ŞİŞMANOĞLU, M., KÖKSAL, C. (2022). Superficial Femoral Artery Mirror Lesions; Risk Factors, Diagnosis, and Clinical Presentation. Eastern Journal of Medicine, Cilt: 27 - Sayı: 1, 15–21. https://ajindex.com/articles/494825

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References (14)

  1. Laird JR. Limitations of percutaneous transluminal angioplasty and stenting for the treatment of disease of the superficial femoral and popliteal arteries. J Endovasc Ther 2006; 13: II30-40
  2. Neupane S, Edla S, Maidona E et al. Long-term outcomes of patients with diabetes mellitus undergoing percutaneous intervention for popliteal and infrapopliteal peripheral arterial disease. Catheter Cardiovasc Interv 2018; 92: 117-123
  3. Yahagi K, Otsuka F, Sakakura K et al.Pathophysiology of superficial femoral artery in-stent restenosis. J Cardiovasc Surg (Torino) 2014; 55: 307-23
  4. Sampson UK, Fowkes FG, McDermott MM et al. Global and regional burden of death and disability from peripheral artery disease. Glob Heart 2014; 9: 145-158.e21
  5. Yiğit G, Sarıcıoğlu MC, Çetinkaya F. Endovascular treatment of chronic total occlusion of iliac/femoral arteries: Mid-term follow-up. Turkish Journal of Vascular Surgery 2020;29(1):7-12 6. Firnhaber JM, Powell CS. Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment. Am Fam Physician 2019; 99: 362-369
  6. Kiesz RS, Góra B, Kolarczyk-Haczyk A et al. Clinical significance of mirror lesions in lower extremity arterial disease. Catheter Cardiovasc Interv 2020; 95: 300-306
  7. Vink A, Schoneveld AH, Richard W et al. Plaque burden, arterial remodeling and plaque vulnerability: determined by systemic factors? J Am Coll Cardiol 2001; 38: 718-723
  8. Rutherford RB, Baker JD, Ernst C et al. Recommended standards for reports dealing with lower extremity ischemia: revised version J Vasc Surg 1997; 26: 517-538
  9. Shrikhande GV, Graham AR, Aparajita R et al. Determining criteria for predicting stenosis with ultrasound duplex after endovascular intervention in infrainguinal lesions. Ann Vasc Surg 2011; 25: 454-460
  10. Criqui M, Aboyans V. Epidemiology of peripheral artery disease. Circ Res 2015; 116: 1509-1526
  11. Chatzizisis YS, Coskun AU, Jonas M, Edelman ER, Feldman CL, Stone PH. Role of endothelial shear stress in the natural history of coronary atherosclerosis and vascular remodeling: molecular, cellular, and vascular behavior. J Am Coll Cardiol 2007; 49: 2379-2393
  12. Caplan LR, Gorelick PB, Hier DB. Race, sex and occlusive cerebrovascular disease: a review. Stroke 1986; 17: 648-655
  13. Clarà A, Merino J, Planas A et al. Infrapopliteal arterial occlusive disease in elderly men: a population-based study. Int Angiol 2012; 31: 245-251
  14. Gerhard-Herman MD, Gornik HL, Barrett C et al. 2016 AHA/ACC Guideline on th