Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/107275
Título: Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency
Autores/as: Martin, Rabellino
Vanesa G, Di Caro
Raleigh, Juan Valle
Jose, Chas
Vadim, Kotowicz
Maynar Moliner, Manuel 
Zander, Tobias
Clasificación UNESCO: 32 Ciencias médicas
321317 Cirugía vascular
Palabras clave: Claudication
Critical Limb Ischemia
Peripheral Artery Disease
Stent
Fecha de publicación: 2021
Publicación seriada: Vascular and Endovascular Surgery 
Resumen: Background: Despite considerable morbid-mortality rates, common femoral endarterectomy is still considered the gold standard for atherosclerotic common femoral artery (CFA) disease. The aim of this study was to demonstrate computed tomography angiography based long-term patency after CFA stent placement and to analyze associated risk factors for restenosis. Methods: A retrospective and observational study was carried out in consecutive patients treated with endovascular stent placement in CFA lesions. A clinical follow-up and imaging study was performed using MD-CTA to assess different degrees of in stent restenosis (ISR) and primary, assisted, and secondary patency rates. Results: In a 5-year period, 35 extremities were treated in 33 patients with self-expandable nitinol stents. The technical success was 100% without complications related to the procedure. The mean follow-up (FU) was 32.2 months, and 8 limbs were lost. The degree of CFA stenosis was reduced from 79.69 ± 26.47% to 11.23 ± 24.53%. ISR < 20%, 20–70%, and ≥ 70% was evident in 15 (55.6%), 9 (33.3%), and 3 (11.1%) limbs, respectively. Estimated primary, assisted, and secondary patency was 79.5, 96.3, and 96.3%, respectively, after 24 months and 79.5, 96.3, and 96.3%, respectively after 60 months, with a freedom of clinical driven target lesion revascularisation rate of 87.8%. Conclusion: Endovascular treatment with self-expandable nitinol stents in CFA lesions had a high technical success rate and was related to few complications. A mild form of intimal hyperplasia was observed in a considerable number of cases. However, long-term patency was high; therefore, CFA stent placement might be a suitable therapeutic alternative in selected patients.
URI: http://hdl.handle.net/10553/107275
ISSN: 1538-5744
DOI: 10.1177/15385744211010447
Fuente: Vascular and Endovascular Surgery [ISSN 1538-5744], v. 55(6), p. 571-576
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