DRUG-ELUTING STENTS IN THE TREATMENT OF PATIENTS WITH OCCLUSIVE-STENOTIC LESIONS OF THE SUPERFICIAL FEMORAL ARTER.

Autor: Nikishyn OL; SI «SCIENTIFIC-PRACTICAL CENTER OF ENDOVASCULAR NEURORADIOLOGY NAMS OF UKRAINE», KYIV, UKRAINE., Altman IV; SI «SCIENTIFIC-PRACTICAL CENTER OF ENDOVASCULAR NEURORADIOLOGY NAMS OF UKRAINE», KYIV, UKRAINE., Al-Qashkish II; SI «SCIENTIFIC-PRACTICAL CENTER OF ENDOVASCULAR NEURORADIOLOGY NAMS OF UKRAINE», KYIV, UKRAINE., Gavretskiy AI; UKRAINIAN MILITARY MEDICAL ACADEMY, KYIV, UKRAINE., Savolyuk SI; SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE., Muz MI; KYIV CITY CLINICAL HOSPITAL № 8, KYIV, UKRAINE.
Jazyk: angličtina
Zdroj: Wiadomosci lekarskie (Warsaw, Poland : 1960) [Wiad Lek] 2023; Vol. 76 (5 pt 2), pp. 1216-1219.
DOI: 10.36740/WLek202305212
Abstrakt: Objective: The aim: To analyze the results of endovascular revascularization of the femoropopliteal segment using drug-eluting stents.
Patients and Methods: Materials and methods: Endovascular intervention was performed in 23 patients with occlusive-stenotic lesions of the superficial femoral artery (SFA). Paclitaxel-eluting stents were used. There were 16 (69.6%) patients with diabetes mellitus type 2 and diabetic angiopathy, and 7 (30.4%) patients had obliterating atherosclerosis of the arteries of the lower limbs. Critical ischemia of the lower extremities was diagnosed in 18 (78.3%) cases, and intermittent claudication - in 5 (21.7%).
Results: Results: Twenty (86.6 %) scheduled procedures for stenting of the SFA were technically successful. During follow-up period (3 months), there were no cases of reocclusion or clinically significant restenosis at the stented level. There were no "major" amputations during follow -up period. "Small" ankle amputations were performed in 7 (35%) patients with diabetic gangrene.
Conclusion: Conclusions: Implantation of drug-eluting stents is an effective method of endovascular revascularization in patients with SFA lesions. To compare the results of implantation of drug-eluting stents with other methods of revascularization of the lesions of the femoro-popliteal segment, it is necessary to accumulate more data and increase the duration of the follow-up period.
Databáze: MEDLINE