Chiu-Yang Lee
Current Position
Taipei Veterans General Hospital
Peripheral Artery Session

Topic: Strategies to optimize the long outcome in patients with peripheral artery disease with TASC C and D femoropopliteal lesions


Despite endovascular revascularization being a popular and first option for advanced peripheral artery disease (PAD) because of introduction of novel instruments and technical improvement, achieving a good long-term clinical outcome is challenging in patients with for multilevel and long femoropopliteal and infrapopliteal lesions (TASC C and D).

In addition to the BASIL trial, there is rare information concerning comparing surgical to endovascular strategies for main outcomes, such as limb salvage, wound healing, quality of life, and survival in patients with CLI.

Despite of the advancement of intervention methods, the TASC II guidelines recommend a multidisciplinary approach is important to improve patency and quality of life and avoid amputation in CLI patients.

The study was to review several recent litterateurs to assess the clinical outcome and associated parameters of endovascular therapy such coating balloon angioplasty, stenting and bypass surgery in patients with advanced PAD.

Our studies showed, the optimal management strategy for TASC C and TASC D lesions could favor multidisciplinary strategies based on multiple factors such as anatomic lesions, patient conditions, accessible technical resources, and pharmacological and physical approaches by medical teams. A large-scale randomized trial should be conducted in the future to confirm our findings.