J Korean Soc Radiol.  2021 May;82(3):527-540. 10.3348/jksr.2021.007.

Interventional Treatments for Femoropopliteal Arterial Disease and Recent Updates

• kim M
• Cho SB

• KMID: 2516107
• DOI: http://doi.org/10.3348/jksr.2021.007

Abstract

Peripheral arterial occlusive disease (PAOD) of the femoropopliteal artery is commonly caused by atherosclerosis. It can present with varying clinical symptoms depending on the degree of disease, ranging from intermittent claudication to critical limb ischemia and tissue loss. Therefore, appropriate and timely treatment is required to improve symptoms and salvage the affected limbs. Interventional approaches for femoropopliteal arterial disease commonly include percutaneous transluminal angioplasty, atherectomy, and stent placement. Over the years, endovascular recanalization has been widely performed for treating PAOD due to continuous developments in its techniques and availability of dedicated devices with the inherent advantage of being minimal invasive. In this review, we introduce various types of endovascular treatment methods, discuss the results of clinical research from existing literature, and illustrate the treatment procedures using representative images.

Keyword

Peripheral Arterial Disease; Angioplasty; Stents; Atherectomy; Paclitaxel