Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2006 Giugno;47(3) > The Journal of Cardiovascular Surgery 2006 Giugno;47(3):279-84

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

ORIGINAL ARTICLES  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2006 Giugno;47(3):279-84

lingua: Inglese

Balloon-expandable, radially reinforced ePTFE relining of the superficial femoral artery after remote endarterectomy

Heerinckx C. 1, Verbist J. 1, Haenen L. 1, Deferm H. 1, Deloose K. 2, Bosiers M. 2, Peeters P. 1

1 Department of Cardiovascular and Thoracic Surgery Imelda Hospital, Bonheiden, Belgium
2 Department of Vascular Surgery St. Blasius Hospital, Dendermonde, Belgium


PDF  


Aim. The aim of this paper was to evaluate the mid-term results of remote endarterectomy and balloon-expandable, radially reinforced ePTFE endograft uplining of the superficial femoral artery (SFA) for long occlusions.
Methods. One hundred and two limbs in 92 patients were included in this prospective, multicenter study. Indications were disabling claudication (n=74), restpain (n=10) and tissue loss (n=16) due to an SFA occlusion of at least 10 cm in length. Remote endarterectomy of the SFA using a modified ringcutter in an over-the-wire technique, was followed by implantation of a balloon-expandable Enduring endovascular graft. Control visits were performed at 1, 3 and 6 months postprocedure and every half year from then on. Follow-up protocol included physical examination, Doppler ankle-brachial index measurement and, in case of doubt, duplex examination.
Results. A technical success rate of 98% was achieved. Mean follow-up was 36 months. Four patients were lost to follow-up and 17 patients died of nondevice-related causes. The primary, primary assisted and secondary patency rates were 68%, 73% and 97.5% at 1 year and 50%, 60%, and 89% at 3 years, respectively.
Conclusion. Although technical success rate is high and early patency rates are good, mid-term results are inferior to those of conventional femoro-popliteal synthetic bypass grafts. In order to become competitive to conventional bypass surgery, further technical refinements will be necessary, especially to overcome the problem of stenoses at the distal transition zone.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail