{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:03:05Z","timestamp":1780351385138,"version":"3.54.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T00:00:00Z","timestamp":1608508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the results of combining superficial femoral artery endovascular therapy with distal bypass originating from the popliteal artery as a method of lower extremity revascularization in patients with chronic limb-threatening ischemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The records of patients undergoing combined superficial femoral artery endovascular therapy with popliteal-to-distal bypass for chronic limb-threatening ischemia from January 2014 to April 2020 at a single institution were retrospectively reviewed. The patients\u2019 background, operative details, and long-term outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-two popliteal-to-distal bypasses with superficial femoral artery endovascular therapy were performed in 49 patients (33 men; mean age, 76\u2009\u00b1\u20099\u2009years; diabetes mellitus, 80%; end-stage renal disease with hemodialysis, 47%). The Trans-Atlantic Inter-Society Consensus II classification of superficial femoral artery\u2013popliteal lesion was \u201cA\u201d in 8 (15%) patients, \u201cB\u201d in 14 (27%) patients, \u201cC\u201d in 24 (46%) patients, and \u201cD\u201d in 6 (12%) patients. The intervention for superficial femoral artery lesions was plain old balloon angioplasty in 4 patients, self-expandable nitinol stent in 15 patients, drug-coated balloon in 18 patients, drug-eluting stent in 4 patients, stent graft in 10 patients, and interwoven nitinol stent in 1 patient. Distal bypass originated from the above-knee popliteal artery in 9 (17%) limbs and the below-knee popliteal artery in 43 (83%) limbs. The most common outflow artery was the posterior tibial artery (44%). The mean follow-up period was 17\u2009\u00b1\u200917\u2009months. The primary and secondary patency of the graft was 44% and 72%, respectively, at 1\u2009year and 39% and 72%, respectively, at 3\u2009years. Primary patency and freedom from clinical-driven target lesion revascularization of superficial femoral artery endovascular therapy lesions were 85% and 90%, respectively, at 1\u2009year and 63% and 75%, respectively, at 3\u2009years. Limb salvage was 97% at 1\u2009year and 92% at 3\u2009years. Wound healing was 67% at 6\u2009months and 83% at 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Combined superficial femoral artery endovascular therapy with popliteal-to-distal bypass may be a promising approach for patients with chronic limb-threatening ischemia because of durable patency, acceptable wound healing, and good limb salvage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1708538120981224","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:43Z","timestamp":1608595243000},"page":"905-912","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Effectiveness of combined superficial femoral artery endovascular therapy with popliteal-to-distal bypass: A paradigm shift in surgical open bypass for chronic limb-threatening ischemia"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-8359","authenticated-orcid":false,"given":"Taira","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Hamamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takanobu","family":"Okazaki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misa","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Reconstructive and Plastic Surgery, JA Hiroshima General Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Cardiology, JA Hiroshima General Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hiroshima University, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"bibr1-1708538120981224","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2012.02.006"},{"key":"bibr2-1708538120981224","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.01.073"},{"key":"bibr3-1708538120981224","first-page":"980","volume":"90","author":"Veith 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