Peripheral arterial obstruction: Prospective study of treatment with a transluminally placed self-expanding stent-graft

被引:132
作者
Lammer, J
Dake, MD
Bleyn, J
Katzen, BT
Cejna, M
Piquet, P
Becker, GJ
Settlage, RA
机构
[1] Univ Vienna, Klin Radiodiagnost, AKH Univ Kliniken, Dept Angiog & Intervent Radiol, A-1090 Vienna, Austria
[2] Stanford Univ, Dept Radiol, Div Intervent Radiol, Palo Alto, CA 94304 USA
[3] Antwerp Bloedvaten Ctr, Antwerp, Belgium
[4] Miami Cardiac & Vasc Inst, Miami, FL USA
[5] Hop Enfants La Timone, Dept Vasc Surg, Marseille, France
[6] WL Gore & Associates, Flagstaff, AZ USA
关键词
arteriosclerosis; arteries; peripheral; restenosis; stenosis or obstruction; grafts and prostheses;
D O I
10.1148/radiology.217.1.r00se0595
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To evaluate the safety and efficacy of an endoluminal prosthesis for treatment of peripheral arterial occlusive disease (PAOD). MATERIALS AND METHODS: A self-expanding endoprosthesis with an expanded polytetrafluoroethylene tube inside a nitinol support structure was implanted in 127 patients with symptomatic PAOD in the iliac (61 limbs) and femoral arteries (80 Clinical category statue ankle-brachial index, and color duplex flow imaging results were recorded before treatment, at discharge, and at 1, 3, 6, and 12 months after treatment. Aspirin was administered throughout the study, and heparin was administered during and for 2 days after the procedure. RESULTS: Endoprosthesis deployment was technically successful in all patients. Complications occurred in 24 of 141 procedures and included three major complications. Early thrombosis (within 30 days) occurred in one iliac and three femoral arteries. Late restenosis or reocclusion was observed in five iliac and 14 femoral arteries within the 1st year. Primary patency rates in iliac arteries were 98% +/- 3% (standard error) and 91% +/- 4%, respectively, at 6 and 12 months after treatment. Primary patency rates in femoral arteries were 90% +/- 3% and 79% +/- 5%, respectively, at 6 anal 12 months. Secondary patency rates were 95% and 93% for iliac and femoral arteries, respectively, at 12 months after treatment. CONCLUSION: The device used in this study can be implanted without additional risks to the patient and provided encouraging patency rates up to 1 year.
引用
收藏
页码:95 / 104
页数:10
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