Document Detail


Stent placement for superficial femoral arterial occlusive disease in high-risk patients: preliminary results.
MedLine Citation:
PMID:  19132463     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report the preliminary results of primary stenting of the superficial femoral artery (SFA) in high-risk patients with symptomatic SFA occlusive disease. METHODS: Between February 2005 and April 2007, a collective 30 lower limbs in 28 high-risk patients with SFA occlusive disease were treated by primary stenting. Hemodynamic improvement was assessed by ankle brachial pressure index (ABI), before and after the procedure. Primary and primary-assisted patency and limb salvage were measured in concordance with the Society for Vascular Surgery guidelines. RESULTS: The technical success rate was 97%. The average ABI before and after stent placement increased significantly, from 0.41 +/- 0.33 to 0.82 +/- 0.20 (P < 0.001). The primary and primary-assisted patency rates were 86% and 90% at 6 months, 86% and 90% at 12 months, and 68% and 90% at 24 months, respectively. The limb salvage rate was 92% at 6, 12, and 24 months and the survival rate was 95% at 6, 12, and 24 months. CONCLUSION: Our results suggest that the primary stenting of SFA lesions is a feasible, safe, and effective procedure for high-risk patients with SFA occlusive disease.
Authors:
Toshiya Nishibe; Yuka Kondo; Masayasu Nishibe; Akihito Muto; Alan Dardik
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Publication Detail:
Type:  Journal Article     Date:  2009-01-08
Journal Detail:
Title:  Surgery today     Volume:  39     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2009  
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  21-6     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Surgery, Department of Surgery, Fujita Health University, Aichi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography
Arterial Occlusive Diseases / epidemiology,  surgery*
Blood Pressure
Female
Femoral Artery / radiography,  surgery*
Humans
Ischemia / etiology,  radiography,  surgery
Japan / epidemiology
Kaplan-Meiers Estimate
Male
Middle Aged
Popliteal Artery / radiography,  surgery*
Prospective Studies
Risk Factors
Stents*
Treatment Outcome
Vascular Patency

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


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