{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:35:46Z","timestamp":1787240146939,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,11,25]],"date-time":"2009-11-25T00:00:00Z","timestamp":1259107200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p>Purpose: Symptomatic atherosclerotic disease of the popliteal artery presents challenges for endovascular therapy. We evaluated the technical success, complications, and midterm outcomes of atherectomy and angioplasty involving the popliteal segment.<\/jats:p>\n                  <jats:p>Methods: We conducted a retrospective review of outcomes of popliteal artery intervention using atherectomy or angioplasty performed between 2003 and 2008.<\/jats:p>\n                  <jats:p>Results: A total of 56 patients (36% women, age 72.8 \u00b1 12.2 years, 77% critical limb ischemia) underwent popliteal atherectomy (n = 18) or angioplasty (n = 38). These patients had similar clinical characteristics, TransAtlantic Intersociety Consensus (TASC)\/ TASC II classification, mean lesion length, and runoff scores. We observed a trend toward higher rates of technical success defined as &lt;30% residual stenosis after atherectomy compared to angioplasty (94% vs 71%, P = .08). While angioplasty was associated with a higher frequency of arterial dissection (23% vs 0%, P = .003), atherectomy was associated with a higher rate of thromboembolic events (22% vs 0%, P = 0.01). Adjunctive stenting was used more frequently following angioplasty compared to atherectomy (45% vs 6%, P = .005). Thrombolysis was used to treat embolization in 4 patients in the atherectomy group. The improvement in the ankle-brachial index (ABI) was similar between the 2 treatment groups. Primary patency of the popliteal artery at 3, 6, and 12 months was 94%, 88%, and 75% in the atherectomy group and 89%, 82%, and 73% in the angioplasty group (P = not significant [NS]). There were no significant differences in limb salvage and freedom from reintervention at 1 year between the atherectomy and angioplasty groups.<\/jats:p>\n                  <jats:p>Conclusions: Our experience with popliteal artery endovascular therapy indicates a distinct pattern of procedural complications with atherectomy compared to angioplasty but similar midterm patency, limb salvage, and freedom from intervention.<\/jats:p>","DOI":"10.1177\/1538574409345028","type":"journal-article","created":{"date-parts":[[2009,11,27]],"date-time":"2009-11-27T18:32:48Z","timestamp":1259346768000},"page":"25-31","source":"Crossref","is-referenced-by-count":57,"title":["Endovascular Management of the Popliteal Artery: Comparison of Atherectomy and Angioplasty"],"prefix":"10.1177","volume":"44","author":[{"given":"Elie","family":"Semaan","sequence":"first","affiliation":[{"name":"Section of Vascular and Endovascular Surgery, Boston University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Hamburg","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine, Boston University School of Medicine Boston, Massachusetts,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael","family":"Nasr","sequence":"additional","affiliation":[{"name":"Section of Vascular and Endovascular Surgery, Boston University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palma","family":"Shaw","sequence":"additional","affiliation":[{"name":"Section of Vascular and Endovascular Surgery, Boston University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Eberhardt","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine, Boston University School of Medicine Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Woodson","sequence":"additional","affiliation":[{"name":"Section of Vascular and Endovascular Surgery, Boston University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gheorghe","family":"Doros","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Public Health, Boston University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Rybin","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Public Health, Boston University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alik","family":"Farber","sequence":"additional","affiliation":[{"name":"Section of Vascular and Endovascular Surgery, Boston University School of 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