Document Detail


Endovascular treatment of femoropopliteal aneurysms: a five-year experience.
MedLine Citation:
PMID:  16832594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the effectiveness of endovascular treatment of femoropopliteal aneurysms (FPAs). METHODS: In the last 5 years, we have treated 17 FPAs (diameter 21-75 cm, mean 38.4 cm; length 27-100 cm, mean 72.5 cm) in 15 patients (age 57-80 years, mean 70.9 years). The diagnosis was obtained by color Doppler ultrasound (CDU) and the procedure was planned by CT angiography (CTA) and preprocedural angiography. Eight FPAs were excluded with only one stent-graft; in 8 patients, two stent-grafts were positioned; and in 1 patient, three stent-grafts were used. In 14 cases we used a Wallgraft endoprosthesis, in 2 cases a Hemobahn, and in 1 case an Excluder contralateral leg. The patients were followed up with CDU and occasionally with CTA. RESULTS: Immediate technical success was obtained in 17 of 17 cases (100%). One patient died during the first year. During a mean follow-up of 26.9 months (range 3-60 months) we observed 6 of 16 (38%) stent-graft occlusions (3 of which were recanalized with locoregional thrombolysis and 3 with mechanical thrombectomy). Two stent-grafts were patent at 12 and 24 months. Four patients experienced subsequent occlusions and recanalizations until corrected by surgical bypass (1 at 14 months, 2 at 18 months, and 1 at 36 months). Therefore the primary patency was 63% and assisted patency was 73%. CONCLUSION: The endovascular approach is a minimally invasive treatment option for FPAs. Moreover endovascular stent-grafting does not necessarily preclude conventional surgical repair, but it can delay it. Longer follow-up will be needed to determine the long-term patency rate.
Authors:
Domenico Laganà; Gianpaolo Carrafiello; Monica Mangini; Roberto Caronno; Andrea Giorgianni; Domenico Lumia; Patrizio Castelli; Carlo Fugazzola
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  29     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-07-26     Completed Date:  2006-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  819-25     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Insubria, Viale Borri, 57-21100 Varese, Italy. donlaga@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aneurysm / radiography,  therapy*,  ultrasonography
Blood Vessel Prosthesis Implantation*
Catheterization, Peripheral
Female
Femoral Artery* / radiography,  ultrasonography
Graft Occlusion, Vascular / therapy
Humans
Male
Middle Aged
Popliteal Artery* / radiography,  ultrasonography
Radiography, Interventional
Stents*
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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