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Controversies in lower limb revascularisation

Peripheral Arterial Diseases

There were two debates, opposing an interventionist and a vascular surgeon, and both topics dealt with the treatment of steno-obstructive lesions of the lower limbs.
The first topic was the treatment of common femoral artery lesions.
Prof JB Riccò stressed the importance of surgery, not underestimating the role of endovascular procedures in obese patients with diffuse calcifications and the relevance of inguinal scars.
Prof Zeller highlighted the role of endovascular procedures to solve particular situations and the low rate of complications in the short and medium term, especially in centers with experience and a high volume of procedures.
The second debate was on the treatment of long lesions of the superficial femoral artery.
Prof Riambau stressed the importance of surgery especially in young and working age people. The endovascular approach might be prone to complications, especially damage to the distal vascular bed, losing the possibility of a surgical revascularization.
Prof Minar stressed, however, the role of endovascular procedures, which permits a minimally invasive approach, especially thanks to new devices (drug eluting balloons and stents) and the possibility of re-operating effectively in the event of restenosis or reocclusions.
Presentations and rebuttals were followed by a wide and varied discussion that involved the moderators (Prof Roffi and Setacci), the speakers and the delegates in the Belgrade room.




Controversies in lower limb revascularisation

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.