{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:16:22Z","timestamp":1788135382907,"version":"build-2803163510"},"reference-count":19,"publisher":"Hogrefe Publishing Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Summary: Background: Atherectomy emerged recently as an interventional modality for vessel preparation with high rates of mid-term primary patency. However, data regarding the comparison of rotational atherectomy for long calcified lesions with bypass surgery above-the-knee are lacking. Aim to investigate early and mid-term outcomes of this endovascular treatment compared to bypass surgery. Patients and methods: In this retrospective analysis, patients with de novo occlusive TASC D lesions of the superficial femoral artery (SFA) were included. A synthetic above-knee femoropopliteal bypass was preferred as the initial treatment approach for patients with absence of a patent origin\/stump of the SFA (group A). On the other hand, in case of patent stump of the SFA of at least 1 cm or more, an endovascular approach with rotational atherectomy and DCB angioplasty with bail-out stenting was preferred (group B). Results: Thirty-eight patients formed group A, and thirty-nine group B. Technical success\/stent free technical success was met in 37\/38 patients in group A and in 29\/39 patients in group B respectively (p&lt;.001). Primary patency was 89.5% in group A compared to 94.7% in group B (log rank test: p=.468), while the secondary patency was 94.9% versus 94.7% (log rank test: p=.068). In group B, two patients required re-intervention 24 months after the initial procedure. In group A, two patients suffered from bypass occlusion occurring 8 months after the initial procedure and unterwent a re-intervention. Conclusions: Endovascular atherectomy-assisted revascularisation and prosthetic bypass exhibit good patency. The time of occurrence of re-interventions differ between the 2 groups unterlining the need for meticulous follow up.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001236","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T05:17:42Z","timestamp":1758259062000},"page":"363-370","source":"Crossref","is-referenced-by-count":1,"title":["Bypass versus endovascular revascularization for patients with atherosclerotic occlusive disease of the superficial femoral artery"],"prefix":"10.1024","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6356-9142","authenticated-orcid":true,"given":"Konstantinos","family":"Avranas","sequence":"first","affiliation":[{"name":"Research collaborator at Rhein Main Vascular Center, Department of Vascular and Endovascular Surgery, Asklepios Clinics Langen, Paulinen Wiesbaden, Seligenstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4999-7561","authenticated-orcid":true,"given":"Apostolos G.","family":"Pitoulias","sequence":"additional","affiliation":[{"name":"Rhein Main Vascular Center, Department of Vascular and Endovascular Surgery, Asklepios Clinics Langen, Paulinen Wiesbaden, Seligenstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1747-0610","authenticated-orcid":true,"given":"Dimitrios","family":"Kapetanios","sequence":"additional","affiliation":[{"name":"Rhein Main Vascular Center, Department of Vascular and Endovascular Surgery, Asklepios Clinics Langen, Paulinen Wiesbaden, Seligenstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gergana T.","family":"Taneva","sequence":"additional","affiliation":[{"name":"Research collaborator at Rhein Main Vascular Center, Department of Vascular and Endovascular Surgery, Asklepios Clinics Langen, Paulinen Wiesbaden, Seligenstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos P.","family":"Donas","sequence":"additional","affiliation":[{"name":"Rhein Main Vascular Center, Department of Vascular and Endovascular Surgery, Asklepios Clinics Langen, Paulinen Wiesbaden, Seligenstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.254"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1583\/11-3539.1"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1177\/1932296817702169"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13113235"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2023.12.030"},{"issue":"1","key":"c6","first-page":"13","volume":"63","author":"Donas KP","year":"2022","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816644914"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.05.006"},{"issue":"9","key":"c9","first-page":"CD006680","volume":"2020","author":"Wardle BG","year":"29","journal-title":"Cochrane Database Syst Rev."},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001066"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2024.11.038"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.11.036"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-023-03549-0"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00462-2"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2023.11.045"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2024.04.067"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2015.07.047"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001151"},{"issue":"6","key":"c19","first-page":"366","volume":"52","author":"Betge S","year":"2023","journal-title":"Vasa"}],"container-title":["Vasa"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0301-1526\/a001236","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:36Z","timestamp":1788134436000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0301-1526\/a001236"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1024\/0301-1526\/a001236"],"URL":"https:\/\/doi.org\/10.1024\/0301-1526\/a001236","relation":{},"ISSN":["0301-1526","1664-2872"],"issn-type":[{"value":"0301-1526","type":"print"},{"value":"1664-2872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}