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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE 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

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2012 Agosto;53(4):465-73

INNOVATIVE TECHNOLOGIES FOR SUPERFICIAL FEMORAL ARTERY (SFA) OCCLUSIONS 

Refining stent technologies for femoral interventions

Bosiers M. 1, Deloose K. 1, Callaert J. 1, Maene L. 2, Keirse K. 3, Verbist J. 4, Peeters P. 4

1 Department Vascular Surgery, A.Z. Sint-Blasius, Dendermonde, Belgium;
2 Department Vascular Surgery, OLV, Aalst, Belgium;
3 Department Vascular Surgery, R.Z. Heilig-Hart, Tienen, Belgium;
4 Department Cardiovascular and Thoracic Surgery, Imelda Hospital, Bonheiden, Belgium

Stents were created as a mechanical scaffold to prevent vessel recoil and luminal renarrowing after percutaneous transluminal angioplasty (PTA). In femoropopliteal arteries, indication for stent implantation remains a topic much debated on, especially in long lesion configurations. Ever since the first stents were introduced on the market, in-stent restenosis (ISR) has been an important issue. The evolution in stent design has known a major progression in the last decades from the first generation of stents, plagued with high fracture rates and low primary patency rates, to the design of newer stents to tackle these outcomes. More flexible and longer stents decreased the high fracture rates and drug-eluting stents offered a solution to the restenosis rates by local drug application. The difficult recrossibility of the lesion because of the presence of a permanent vascular scaffold is an obstacle that the drug-coated balloon (DCB) overcomes. Future perspectives in the treatment of femoropopliteal lesions are found in the bioresorbable stent implantation. The bioresorbable stent combines the advantages of a drug-eluting scaffolding stent without the remainder of a foreign object in the long-term. Further investigations in this area will eventually evolve in the creation of a superior endovascular treatment modality with high long-term patency rates and minimal detriments.

lingua: Inglese


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