Percutaneous angioplasty and stenting of the superficial femoral artery

Surowiec, Scott M.; Davies, Mark G.; Eberly, Shirley; Rhodes, Jeffrey M.; Illig, Karl A.; Shortell, Cynthia K.; Lee, David E.; Waldman, David L.; Green, Richard M.

doi:10.1016/j.jvs.2004.11.031

Cited by 210 publications

(164 citation statements)

References 15 publications

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“…Long segment stenosis, small diameter of the stent, metal composition, thrombogenecity and rigidity of the stent negatively affect the patency and may promote myointimal hyperplasia, restenosis and thrombosis [4,5]. Myointimal hyperplasia usually occurs in the transition zone between stent and the artery.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of Stent Restenosis after Long Segment Placement into the Superficial Femoral Artery

Deşer¹,

Demirağ²

2016

Angiol

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Endovascular stent placement is taking place of the bypass surgery in patients with peripheral arterial disease, over the last decade. However, patency of the long segment stents, below knee disease, advenced age, absence of distal runoff, diabetes and chronic renal disease are still challenging. Surgical bypass for the superficial femoral artery occlusive disease to the below the knee stenosis by using autologous vein graft has still good results. Here we present a 55 year old male who had long segment superficial femoral artery atherosclerotic disease. He had a history of long segment endovascular stent placement. We extracted the restenotic stent and performed bypass with PTFE graft to the below the knee.

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Section: Discussionmentioning

confidence: 99%

“…The post-operative course was uneventful. The patient was discharged with oral klopidogrel and acetylsalicylic acid on post-operative [4]. day with palpable distal pulses.…”

Section: Case Reportmentioning

confidence: 99%

Surgical Treatment of Stent Restenosis after Long Segment Placement into the Superficial Femoral Artery

Deşer¹,

Demirağ²

2016

Angiol

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“…Other studies have reported the results of bail-out stenting strategies (stenting performed if only angioplasty alone fails) which reveal a mean primary patency rate of 55% at 12 months [25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Subintimal angioplasty and stenting in chronic total femoropopliteal artery occlusions: Early- and mid-term outcomes

et al. 2015

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“…Other advantages of pursuing immediate angiography in patients with acute limb ischemia include delineation of the limb arterial anatomy with visualization of both inflow and runoff vessels. Complete aortogram with runoffs should be obtained prior to intervening with occlusive lesions, as short-and long-term patency and clinical success are dependent on the outflow status 10) . During the acute stage of disease, when thrombus is visible on an aortogram, early intervention such as PTA or stent insertion may lead to distal embolic events.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Management of Acute Total Occlusion of the Aorta

Park

Lee

et al. 2011

J Korean Geriatr Soc

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Acute total occlusion of the aorta is a rare and clinically critical condition requiring aggressive immediate diagnosis and treatment. A 73-year-old male was seen at our hospital complaining of pain sensation in both legs. Under the likely impression of an acute total occlusion of the aorta, emergency abdominal aortogram was done, which revealed total occlusion of the distal aorta and both iliac arteries. Intra-arterial thrombolysis with urokinase was attempted for 48 hours as intervention during the acute stage is highly related to distal thromboembolic events. Follow-up angiography showed improved arterial flow but residual stenosis at both the common iliac arteries. Self-expandable nitinol stents were inserted at both the iliac arteries by the v-kissing technique resulting in a satisfying outcome as seen on angiography without complications. The patient was discharged without additional medical problems. From our experience, we conclude that the use of intra-arterial thrombolysis with percutaneous transluminal angioplasty is an alternative to the conventional surgical approach in treating acute total occlusion of the aorta.

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Percutaneous angioplasty and stenting of the superficial femoral artery

Cited by 210 publications

References 15 publications

Surgical Treatment of Stent Restenosis after Long Segment Placement into the Superficial Femoral Artery

Surgical Treatment of Stent Restenosis after Long Segment Placement into the Superficial Femoral Artery

Subintimal angioplasty and stenting in chronic total femoropopliteal artery occlusions: Early- and mid-term outcomes

Endovascular Management of Acute Total Occlusion of the Aorta

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