Midterm Outcome of Femoral Artery Stenting and Factors Affecting Patency
Vascular Specialist International
; : 115-119, 2015.
Article
em En
| WPRIM
| ID: wpr-108808
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the early and midterm results of superficial femoral artery (SFA) stenting with self-expanding nitinol stents and to identify the factors affecting patency. MATERIALS ANDMETHODS:
SFA stenting was performed in 165 limbs of 117 patients from January 2009 to December 2013. Patients were followed-up for the first occurrence of occlusion or stenosis based on computed tomography and duplex scan results and a decrease in ankle brachial index of >15%.RESULTS:
During the follow-up period (mean, 15.3+/-3.2 months), no early thrombotic reocclusions occurred within 30 days, but in-stent restenosis developed in 78 limbs. The primary patency rates at 6, 12, 18, and 24 months were 78%, 66%, 42%, and 22%, respectively, and the secondary patency rates were 85%, 72%, 58%, and 58%, respectively. TASC II C or D lesions, stent length >8 cm, number of patent tibial arteries and diabetes were significantly associated with reintervention.CONCLUSION:
The midterm results of stenting for SFA occlusive disease were disappointing because the primary and secondary patency rates at two years were 22% and 58%, respectively. Reintervention after SFA stenting remains a major problem, particularly in patients with diabetes mellitus or long TASC II C or D lesions.Palavras-chave
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Índice:
WPRIM
Assunto principal:
Stents
/
Seguimentos
/
Artérias da Tíbia
/
Constrição Patológica
/
Diabetes Mellitus
/
Extremidades
/
Índice Tornozelo-Braço
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Artéria Femoral
/
Procedimentos Endovasculares
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Vascular Specialist International
Ano de publicação:
2015
Tipo de documento:
Article