Role of Pathology in the Decision Making of SFA Chronic Total Occlusion: A Narrative Review Article

Author(s): Ahmed MT Ghanem, Amira Roshdy Eltabbakh

Long segment femoral chronic total occlusion (CTO) intervention is considered to be among the most challenging procedures in patients with peripheral artery disease. The anatomical TransAtlantic InterSociety Consensus (TASC) classification in SFA total occlusion may be not enough for the selection between endovascular or surgical intervention. This article reveals the importance of clear understanding and visualization of the detailed pathological nature of the lesion and how it will create a more accurate and safe decision.