| Improved technical success and midterm patency with subintimal angioplasty compared to intraluminal angioplasty in long femoropopliteal occlusions. | |
| | |
MedLine Citation:
|
PMID: 17723006 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To compare the efficacy of subintimal angioplasty combined with primary stenting to intraluminal angioplasty with stenting for revascularization of long (>10 cm) femoropopliteal arterial occlusions. METHODS: Baseline characteristics and outcomes of 52 patients (40 men; mean age 65.6+/-9.7 years) with superficial femoral artery (SFA) occlusions in 61 limbs (mean occlusion length 22.7+/-9.9 cm) treated with subintimal angioplasty and primary stenting were compared with a 54-patient control group (46 men; mean age 64.8+/-8.2 years) from our registry database who had intraluminal angioplasty with stenting in 60 limbs (mean occlusion length 22.0+/-8.5 cm). RESULTS: All baseline clinical and angiographic characteristics showed no differences. In all patients, at least 1 self-expanding nitinol stent was implanted. Subintimal angioplasty was successful in 58 (95.1%) of 61 limbs, whereas technical success for the conventional approach was 86.7% (52/60 limbs; p = 0.11). In both groups, there were no major complications requiring surgery. Primary patency at 12 months for successful cases was 76.4% for subintimal angioplasty and 59.2% for conventional angioplasty (p = 0.06); on an intention-to-treat basis, including technical failures, the rates were 72.4% and 50.9%, respectively (p = 0.02). CONCLUSION: Subintimal angioplasty combined with stenting was feasible, with a high technical success rate and better short and midterm results for revascularization of long femoropopliteal occlusions than the conventional intraluminal approach. |
| | |
Authors:
|
Young-Guk Ko; Jung-Sun Kim; Dong-Hoon Choi; Yangsoo Jang; Won-Heum Shim |
Related Documents
:
|
7728296 - Direct relationship between ischaemic burden and myocardial release of products of lipi... 2364416 - Use of femoral artery guiding catheters via the left brachial artery for transluminal c... 10158396 - Initiation and operation of a primary ptca program. 2961456 - A new technique for angioplasty of occluded coronary arteries and bypass grafts, not as... 11701936 - Myocardial ultrasonic tissue characterization for estimating histological abnormalities... 19007316 - A novel ikk inhibitor suppresses heart failure and chronic remodeling after myocardial ... |
Publication Detail:
|
Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
|
Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 14 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2007 Jun |
Date Detail:
|
Created Date: 2007-08-28 Completed Date: 2007-09-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
|
Languages: eng Pagination: 374-81 Citation Subset: IM |
Affiliation:
|
Division of Cardiology, Severance Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Alloys Angioplasty, Balloon / methods* Arterial Occlusive Diseases / physiopathology, radiography, therapy* Feasibility Studies Female Femoral Artery / physiopathology*, radiography Humans Kaplan-Meiers Estimate Male Middle Aged Popliteal Artery / physiopathology*, radiography Prospective Studies Prosthesis Design Registries Retrospective Studies Stents* Time Factors Treatment Outcome Tunica Intima* Vascular Patency* |
| Chemical | |
Reg. No./Substance:
|
0/Alloys; 52013-44-2/nitinol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Multidetector CT angiography in the follow-up of patients treated with renal artery stents: value of...
Next Document: Periprocedural embolic events related to carotid artery stenting detected by diffusion-weighted MRI:...