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Titolo:
SIGNIFICANCE OF TISSUE-COVERED SELF-EXPANDING STENTS IN ILIAC ARTERY OCCLUSIONS OR ANEURYSMS - PRELIMINARY AND LONG-TERM RESULTS
Autore:
SCHEINERT D; RAGG JC; VOGT A; BOTTCHER H; STEINKAMP H; BIAMINO G;
Indirizzi:
HUMBOLDT UNIV,MED KLIN SCHWERPUNKT NEPHROL & INTERNIST INTENS M,FAK MED D-13353 BERLIN GERMANY HUMBOLDT UNIV,STRAHLENKLIN & POLIKLIN,FAK MED D-13353 BERLIN GERMANY ZENTRUM KARDIOL & GEFASSINTERVENT HAMBURG GERMANY
Titolo Testata:
RoFo. Fortschritte auf dem Gebiete der Rontgenstrahlen und der neuenbildgebenden Verfahren
fascicolo: 3, volume: 169, anno: 1998,
pagine: 302 - 309
SICI:
0936-6652(1998)169:3<302:SOTSSI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
GER
Soggetto:
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; FOLLOW-UP; INTRAVASCULAR STENTS; CLINICAL-EXPERIENCE; GRAFT PLACEMENT; PALMAZ STENT; DISEASE; ENDOPROSTHESES; THERAPY; AORTA;
Keywords:
ARTERIES, EXTREMITIES; ARTERIES, GRAFTS AND PROSTHESES; ARTERIES, STENOSIS OR OBSTRUCTION; ANEURYSMS, ILIAC; INTERVENTIONAL PROCEDURES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
D. Scheinert et al., "SIGNIFICANCE OF TISSUE-COVERED SELF-EXPANDING STENTS IN ILIAC ARTERY OCCLUSIONS OR ANEURYSMS - PRELIMINARY AND LONG-TERM RESULTS", RoFo. Fortschritte auf dem Gebiete der Rontgenstrahlen und der neuenbildgebenden Verfahren, 169(3), 1998, pp. 302-309

Abstract

Purpose: The objective of this study was to analyze the primary and long-term results of implanting self expanding covered nitinol stents (EndoPro I) in iliac arteries. Material and Methods: A total of 48 EndoPro (length 8.3+/-4.2 cm) were implanted in 39 patients. In 22 cases (group A) the implantation was performed after excimer laser assisted recanalization (PTLA) of long iliac occlusions (mean 9.8+/-3.9 cm). Other indications were aneurysmatic lesions (n = 16) and one arterial perforation (group B). Results: In 21 of 22 patients of group A the patency of the blood vessel was successfully restored. In all cases of group B the aneurysmatic lesions were finally excluded. This was correlated with a clinical improvement of at least one grade (Rutherford criteria) in 86.4% of patients (group A). The primary patency rate based on clinical examination (treadmill test) and color-coded Doppler was evaluated at 6 (89.7%), 12 (87.1%), and 24 (84.2%) months follow up, respectively. Subacute thromboses occurred in two, relevant restenoses in three cases (group A). In three of these 5 cases the vessel segment wassuccessfully reopened by PTLA or rt-PA thrombolysis, leading to secondary patency rates of 94.9% at 6 and 92.1% at 12 and 24 months, respectively. Conclusion: In cases of relevant dissection following PTLA of long pelvic artery occlusions implantation of covered stents is effective to stabilize the results. Furthermore, the device is well applicable to seal arterial ruptures or aneurysms.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 19:01:15