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Titolo:
Endovascular stenting of superficial femoral artery stenosis and occlusions: results and risk factor analysis
Autore:
Cheng, SWK; Ting, ACW; Wong, J;
Indirizzi:
Univ Hong Kong, Med Ctr, Queen Mary Hosp, Dept Surg, Hong Kong, Hong Kong,Peoples R China Univ Hong Kong Hong Kong Hong Kong Peoples R China Kong,Peoples R China
Titolo Testata:
CARDIOVASCULAR SURGERY
fascicolo: 2, volume: 9, anno: 2001,
pagine: 133 - 140
SICI:
0967-2109(200104)9:2<133:ESOSFA>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON ANGIOPLASTY; PALMAZ STENT; FOLLOW-UP; FEMOROPOPLITEAL; PLACEMENT; STANDARDS; DISEASE;
Keywords:
femoral artery; angioplasty; stents;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Cheng, SWK Univ Hong Kong, Med Ctr, Queen Mary Hosp, Dept Surg, 102 Pokfulam Rd, HongKong, Hong Kong, Peoples R China Univ Hong Kong 102 Pokfulam Rd Hong Kong Hong Kong Peoples R China
Citazione:
S.W.K. Cheng et al., "Endovascular stenting of superficial femoral artery stenosis and occlusions: results and risk factor analysis", CARDIOV SUR, 9(2), 2001, pp. 133-140

Abstract

Purpose: To determine the early and midterm results of femoro-popliteal angioplasty with adjunctive stenting and to identify factors affecting early and continuing success. Methods: Sixty-nine consecutive balloon angioplasty procedures on the superficial femoral artery (SFA) were performed in 60 limbs and SS patients in the operating theater. Fifty-two percent of lesions were occlusions, and 87% involved the distal half or the whole segment of the SFA, Immediate endovascular stenting was used in all procedures, involving the placement of 105stents, with a mean stented length of 13.8 cm, Twenty-nine procedures (43%) were performed for critical ischemia, Three-monthly duplex ultrasound wasused for follow up assessment, with stenosis of > 50% defined as the endpoint for failure. The patient demographic and biochemical data, and procedural details were correlated with success criteria according to Society of Vascular Surgery standards,Results: Initial technical success by intent to treat was 92%, with four procedure-related complications and no deaths. Initial success by anatomic, hemodynamic and clinical criteria were 98.3, 96.7 and 93.3% respectively (92.2, 90.6 and 87.5% by intent to treat). Cumulative primary patency at 6, 12, and 24 months was 73.1, 62.6 and 53.8%, and secondary patency 84.9, 72.1and 72.1% correspondingly. Significant factors relating to inferior patency were occlusions, stented segment length > 10 cm, procedure in claudicants, and the use of the Memotherm stent,Conclusions: Angioplasty and stenting of the superficial femoral artery has acceptable primary and secondary patency rates even in the presence of long stenosis and occlusions. A duplex surveillance program is recommended for early detection and timely treatment of restenosis. (C) 2001 The International Society for Cardiovascular Surgery, Published by Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 11:48:24