Long-term Results with the Palmaz Stent in the Superficial Femoral Artery
| Autor: | Patrice Bergeron, Jean J. Pinot, Vincent Poyen, Huber Benichou, Patrick Khanoyan, Philippe Rudondy, Yu Wang, Stefano Chiarandini, Radwan El Hussein, Regis Rieu, Laurence Larroude, Robert Pelissier |
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| Rok vydání: | 1995 |
| Předmět: | |
| Zdroj: | Journal of Endovascular Therapy. 2:161-167 |
| ISSN: | 1545-1550 1526-6028 |
| DOI: | 10.1177/152660289500200207 |
| Popis: | Purpose: Femoral stenting has demonstrated inconsistent and often disappointing long-term results. To compare our experience, we retrospectively analyzed a series of patients who had Palmaz balloon-expandable stents placed exclusively for superficial femoral artery (SFA) lesions. Methods: From January 1990 to November 1993, 39 patients were evaluated for claudication (79%) or critical ischemia in 42 limbs. The culprit lesions were confined to the SFA: 24 (57%) occlusions and 18 (43%) stenoses, including 3 restenotic lesions. Stenting was elective in 12 (29%) cases: the 3 restenoses and 9 chronic, calcified occlusions. The remaining stents were applied for postangioplasty residual stenosis or angioscopic findings of thrombogenic luminal irregularities. A total of 55 prostheses were successfully implanted. All patients were maintained on ticlopidine and followed by routine duplex scanning. Follow-up angiography was performed in 28 (72%) patients between 4 and 45 months. Results: In the postprocedural period, two acute thromboses (4.8%) occurred within 48 hours in patients who had long occlusions and poor runoff; no other major complications were encountered, for a clinical success rate of 95%. Follow-up evaluation ranged from 4 months to 4 years with a mean of 25 months. The restenosis rate was 19% (34% in occlusions; 10% in stenotic lesions, p = NS). At 24 months, cumulative primary patency was 77% and secondary patency 89%. Conclusions: Palmaz stents performed well in the SFA, demonstrating a low acute thrombosis rate and good long-term patency. The incidence of restenosis is likely to be greater in occlusions than in stenoses. |
| Databáze: | OpenAIRE |
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