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  • Editorial: A Commentary on “Factors Contributing to Efficient Recanalization Procedures for Chronic Total Occlusion of the Superficial Femoral Artery”

    Peripheral artery disease (PAD), defined as an ankle brachial index (ABI) less than 0.9, is estimated to effect approximately 21 million people in the United States  . The population age and prevalence of diabetes are both rising, which will ultimately lead to more patients with PAD  . The most common arterial location affected by PAD is the superficial femoral artery (SFA)  . An endovascular-first approach for many SFA lesions has been advocated in intersociety guidelines for many years  . Unfortunately, data guiding the optimal efficient approach to revascularization of the SFA, particularly in the context of a chronic total occlusion (CTO), are limited and often driven by operator preference, experience, ability, and specialty background.

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