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Titolo:
Percutaneous treatment of catheter-induced traumatic peripheral arterial lesions with dacron-covered nitinolstents
Autore:
Scheinert, D; Schroder, M; Steinkamp, H; Balzer, JO; Frei, U; Biamino, G;
Indirizzi:
Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Klinikum Fredrich Alexander, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany
Titolo Testata:
ZENTRALBLATT FUR CHIRURGIE
fascicolo: 1, volume: 125, anno: 2000,
pagine: 27 - 33
SICI:
0044-409X(2000)125:1<27:PTOCTP>2.0.ZU;2-T
Fonte:
ISI
Lingua:
GER
Soggetto:
TRANS-LUMINAL ANGIOPLASTY; ILIAC ARTERY; TRANSLUMINAL ANGIOPLASTY; INITIAL EXPERIENCE; STENT-GRAFTS; COMPLICATIONS; RUPTURE; DISEASE;
Keywords:
arteries; trauma; vascular prostheses; stenoses; interventional procedures;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Scheinert, D Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Klinikum Fredrich Alexander, Ostliche Stadtmauerstr 29, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Ostliche Stadtmauerstr 29 Erlangen Germany D-91054
Citazione:
D. Scheinert et al., "Percutaneous treatment of catheter-induced traumatic peripheral arterial lesions with dacron-covered nitinolstents", ZBL CHIR, 125(1), 2000, pp. 27-33

Abstract

Objective: Percutaneous peripheral interventional procedures as well as coronary interventions can be complicated by dissections and traumatic lesions of peripheral arteries. The aim of this study was to evaluate the efficacy of fabric covered endoprostheses for percutaneous repair of traumatic peripheral arterial lesions. Patients and methods: In this study we used the EndoPro 1/Pas sager device(Boston Scientific, USA), which is a self-expanding nitinol stent covered by an ultrathin layer of dacron fabric. In 27 patients a total number of 31endoprostheses (mean length 7.3 cm) were implanted in iliac (n = 20), femoral (n = 6) and popliteal arteries (n = 1). Indications for stenting were large dissections (n = 24), arterial perforations (n = 2) and one traumatic arterio-venous fistula. Results: An immediate exclusion of the lesion could be achieved in all cases. There were no major procedural complications. However, within 24 hours after implantation 14 patients (51.9 %) developed fever. WBC and CRP were elevated in 13 (48.1 %) and 17 (63 %) patients, respectively. Repeated bloodcultures could not show any bacterial growth. The primary patency after a mean follow-up of 19 (5 to 31) months was 85.2 %. In two cases with markedly impaired peripheral runoff subacute graft occlusions occurred. In 2 othercases the angiography revealed relevant restenoses (>75 %). The patency could be restored in 2 of these 4 cases leading to a secondary patency rate of 92.6 %. Conclusions: The EndoPro 1/Passager endoprosthesis seems to be safe and effective to seal large dissections and traumatic lesions of peripheral arteries, showing a high long-term patency rate.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 19:57:49