One year outcome after primary stenting of infrapopliteal lesions with the CHROMIS DEEP stent in the management of critical limb ischaemia

被引:20
作者
Deloose, Koen [1 ]
Bosiers, Marc [1 ]
Peeters, Patrick [2 ]
机构
[1] AZ St Blasius, Dept Vasc Surg, B-9200 Dendermonde, Belgium
[2] Imelda Hosp, Dept Cardiovasc & Thorac Surg, Bonheiden, Belgium
关键词
Peripheral obstructive disease; critical limb disease; angioplasty; THE-KNEE LESIONS;
D O I
10.4244/V5I3A50
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: The study investigates the safety and efficacy of primary stenting of infrapopliteal lesions using the Chromis Deep stent (Invatec, Roncadelle, Italy) in patients presenting with critical limb ischaemia (CLI). Methods and results: Fifty patients with infrapopliteal arterial occlusive disease were included in the study from March until November 2007. All patients presented with CLI, 42 (84.0%) and 8 (16.0%) were diagnosed as Rutherford class 4 and 5, respectively. Procedural success was achieved in all 50 patients. Fifty study lesions were treated with angioplasty using the Amphirion Deep balloon and followed by the insertion of 58 Chromis Deep stents. After intervention patients were followed at 1, 6 and 12 month intervals with clinical examination and arterial duplex study. The survival of the studied population was 79.8%, the limb salvage was 91.5% and primary patency of treated vessel was 52.9% at 12 months. Conclusions: Primary stenting using the balloon-expandable Chromis Deep stent in combination with the Amphirion Deep balloon is a safe treatment strategy for infrapopliteal lesions in patients with CLI.
引用
收藏
页码:318 / 324
页数:7
相关论文
共 10 条
[1]  
Bosiers M, 2007, J CARDIOVASC SURG, V48, P455
[2]  
BOSIERS M, 2008, VASCULAR
[3]  
BOSIERS M, 2007, EUROINTERVENTION, V3, P470
[4]   Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial [J].
Bradbury, AW ;
Ruckley, CV ;
Fowkes, FGR ;
Forbes, JF ;
Gillespie, I ;
Adam, DJ ;
Beard, JD ;
Cleveland, T ;
Bell, J ;
Raab, G ;
Storkey, H .
LANCET, 2005, 366 (9501) :1925-1934
[5]   Sirolimus for below the knee lesions: Mid-term results of SiroBTK study [J].
Commeau, Philippe ;
Barragan, Paul ;
Roquebert, Pierre O. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2006, 68 (05) :793-798
[6]   Analysis of agreement between Duplex ultrasound scanning and arteriography in patients with lower limb artery disease [J].
Favaretto, Elisabetta ;
Pili, Caterina ;
Amato, Alfio ;
Conti, Eleonora ;
Losinno, Franco ;
Rossi, Cristina ;
Faccioli, Luca ;
Palareti, Gualtiero .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2007, 8 (05) :337-341
[7]   Primary stent-supported angioplasty for treatment of below-knee critical limb ischemia and severe claudication [J].
Feiring, AJ ;
Wesolowski, AA ;
Lade, S .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (12) :2307-2314
[8]   Inter-society consensus for the management of peripheral arterial disease (TASC II) [J].
Norgren, L. ;
Hiatt, W. R. ;
Dormandy, J. A. ;
Nehler, M. R. ;
Harris, K. A. ;
Fowkes, F. G. R. ;
Liapis, Christos D. .
JOURNAL OF VASCULAR SURGERY, 2007, 45 :S5-S67
[9]   PTA versus carbofilm-coated stents in infrapopliteal arteries: Pilot study [J].
Rand, T ;
Basile, A ;
Cejna, M ;
Fleischmann, D ;
Funovics, M ;
Gschwendtner, M ;
Haumer, M ;
Von Katzler, I ;
Kettenbach, J ;
Lomoschitz, F ;
Luft, C ;
Minar, E ;
Schneider, B ;
Schoder, M ;
Lammer, J .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2006, 29 (01) :29-38
[10]   Drug eluting stents for below the knee lesions in patients with critical limb ischemia: Long-term follow-up [J].
Rosales, Oscar R. ;
Mathewkutty, Shiny ;
Gnaim, Charlie .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2008, 72 (01) :112-115