38 min listen
Ep. 181 Surgical Versus Endovascular Management of CFA Disease with Dr. Mazin Foteh
Ep. 181 Surgical Versus Endovascular Management of CFA Disease with Dr. Mazin Foteh
ratings:
Length:
49 minutes
Released:
Jan 24, 2022
Format:
Podcast episode
Description
Vascular Surgeon Dr. Mazin Foteh and our host Dr. Sabeen Dhand consider various factors that can influence the choice of treatment methods for calcified common femoral artery (CFA) disease, including discussing the pros and cons of an endovascular vs surgical approach.
---
CHECK OUT OUR SPONSOR
Shockwave Medical
https://shockwavemedical.com/?utm_source=CFA-Backtable-Podcast&utm_campaign=Backtable-Podcast
---
SHOW NOTES
In this episode, vascular surgeon Dr. Mazin Foteh and our host Dr. Sabeen Dhand consider various factors that can influence the choice of treatment methods for common femoral artery (CFA) disease.
To start, Dr. Foteh describes risk factors of common femoral disease, such as smoking, renal failure, and diabetes. He notes that CFA lesions are usually calcified and homogenous because they are composed of layers of calcium, lipid, and platelets deposited in fibrin sheaths. He further distinguishes between partially occluded and fully occluded CFA lesions.
Dr. Foteh reviews key tips to minimize complications during an open endarterectomy. To maximize exposure, he recommends making a longitudinal incision rather than a medial groin incision. Before closing, he also ensures that he checks 3-4 cm proximal and distal to the CFA and stents the external iliac artery if needed. Dr. Foteh opts for general anesthesia over local anesthesia, in case of unforeseen complications.
With an endovascular approach, Dr. Foteh finds that shock wave lithotripsy has been most effective at cracking calcium, changing vessel compliance, and ultimately increasing luminal gain. He uses this technique first, examines the results, and then uses a drug-coated balloon or stent as needed. Dr. Foteh emphasizes that lithotripsy is beneficial for the patient because it provides an additional avenue of endovascular treatment and it does not influence the outcome of future endarterectomies.
---
RESOURCES
Clinical Trial Investigating the Efficacy of the Supera Peripheral Stent System for the Treatment of the Common Femoral Artery: https://clinicaltrials.gov/ct2/show/NCT02804113
---
CHECK OUT OUR SPONSOR
Shockwave Medical
https://shockwavemedical.com/?utm_source=CFA-Backtable-Podcast&utm_campaign=Backtable-Podcast
---
SHOW NOTES
In this episode, vascular surgeon Dr. Mazin Foteh and our host Dr. Sabeen Dhand consider various factors that can influence the choice of treatment methods for common femoral artery (CFA) disease.
To start, Dr. Foteh describes risk factors of common femoral disease, such as smoking, renal failure, and diabetes. He notes that CFA lesions are usually calcified and homogenous because they are composed of layers of calcium, lipid, and platelets deposited in fibrin sheaths. He further distinguishes between partially occluded and fully occluded CFA lesions.
Dr. Foteh reviews key tips to minimize complications during an open endarterectomy. To maximize exposure, he recommends making a longitudinal incision rather than a medial groin incision. Before closing, he also ensures that he checks 3-4 cm proximal and distal to the CFA and stents the external iliac artery if needed. Dr. Foteh opts for general anesthesia over local anesthesia, in case of unforeseen complications.
With an endovascular approach, Dr. Foteh finds that shock wave lithotripsy has been most effective at cracking calcium, changing vessel compliance, and ultimately increasing luminal gain. He uses this technique first, examines the results, and then uses a drug-coated balloon or stent as needed. Dr. Foteh emphasizes that lithotripsy is beneficial for the patient because it provides an additional avenue of endovascular treatment and it does not influence the outcome of future endarterectomies.
---
RESOURCES
Clinical Trial Investigating the Efficacy of the Supera Peripheral Stent System for the Treatment of the Common Femoral Artery: https://clinicaltrials.gov/ct2/show/NCT02804113
Released:
Jan 24, 2022
Format:
Podcast episode
Titles in the series (100)
Ep. 21 Vertebral Augmentation with Dr. Venu Vadlamudi and Dr. Kumar Madassery: Vertebral augmentation can be accomplished throug… by BackTable Vascular & Interventional