Surgical Treatment Of TASC Ⅱ C、D Femoropopliteal Arteriosclerosis

Objective：By analyzing clinical data for the surgical treatment of patients with arteriosclerosis obliterans， new progress in surgical treatment is described.To evaluate endovascular intervention and open surgery for patients with TASC II C, D femoropopliteal arterial occlusive lesions.Methods: From March2009to March2013, a total of178patients with TASC II C, D femoropopliteal arterial occlusive lesions, were divided into open surgery(82patients) group and endovascular intervention group(96patients). Analyz the ABI change, average bed time and average length of stay, complications of two groups recorded before surgery and postoperative.Clinical follow‐up took place at1week,3months,6months,12months and24months post procedure. Accessing to information throuth outpatient review mode,compare the ABI and patency of the two groups.Results:Open surgery and endovascular therapy can serve the purpose of improving the patient’s symptoms, saving limbs, saving lives. It proves that both the medical therapy and surgical therapy are efficacy for ASO.Surgical treatment may play a therapeutic effect, but the effect is relatively limited in medical treatment. Clear the lesion and select the appropriate surgical procedures. ABI during the postoperative hospital stay were improved, and no significant difference in the endovascular intervention group.The average bed time and hospital stay are shorter in the endovascular intervention group.Clinical follow‐up took place at1week,3months,6months,12months and24months post procedure. At1week and3months, patency rate and ABI in open surgery group were higher than those of evaluate endovascular intervention group, But there were no statistically significant difference（P＞0.05), Meanwhile patency rate and ABI in evaluate endovascular intervention group reached statistical significance difference after6months(P＜0.05). There were no statistically significant difference between the2groups in terms of complications except for MACCE.Conclusion：Patients with TASC II C, D femoropopliteal arterial occlusive lesions, Open surgery can obviously increase the intermediate and long‐term patency rate and ABI than endovascular interventional therapy.