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- Publisher Website: 10.1016/S0967-2109(00)00109-5
- Scopus: eid_2-s2.0-0035101740
- PMID: 11250175
- WOS: WOS:000167640700004
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Article: Endovascular stenting of superficial femoral artery stenosis and occlusions: results and risk factor analysis
Title | Endovascular stenting of superficial femoral artery stenosis and occlusions: results and risk factor analysis |
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Authors | |
Keywords | Angioplasty Femoral artery Stents |
Issue Date | 2001 |
Publisher | Lippincott Williams & Wilkins. |
Citation | Cardiovascular Surgery, 2001, v. 9 n. 2, p. 133-140 How to Cite? |
Abstract | Purpose: To determine the early and midterm results of femoro-popliteal angioplasty with adjunctive stenting and to identify factors affecting early and continuing success. Methods: Sixty-nine consecutive balloon angioplasty procedures on the superficial femoral artery (SFA) were performed in 60 limbs and 55 patients in the operating theater. Fifty-two percent of lesions were occlusions, and 87% involved the distal half or the whole segment of the SFA. Immediate endovascular stenting was used in all procedures, involving the placement of 105 stents, with a mean stented length of 13.8cm. Twenty-nine procedures (43%) were performed for critical ischemia. Three-monthly duplex ultrasound was used for follow up assessment, with stenosis of > 50% defined as the endpoint for failure. The patient demographic and biochemical data, and procedural details were correlated with success criteria according to Society of Vascular Surgery standards. Results: Initial technical success by intent to treat was 92%, with four procedure-related complications and no deaths. Initial success by anatomic, hemodynamic and clinical criteria were 98.3, 96.7 and 93.3% respectively (92.2, 90.6 and 87.5% by intent to treat). Cumulative primary patency at 6, 12, and 24months was 73.1, 62.6 and 53.8%, and secondary patency 84.9, 72.1 and 72.1% correspondingly. Significant factors relating to inferior patency were occlusions, stented segment length >10cm, procedure in claudicants, and the use of the Memotherm stent. Conclusions: Angioplasty and stenting of the superficial femoral artery has acceptable primary and secondary patency rates even in the presence of long stenosis and occlusions. A duplex surveillance program is recommended for early detection and timely treatment of restenosis. Copyright © 2001 The International Society for Cardiovascular Surgery. |
Persistent Identifier | http://hdl.handle.net/10722/83097 |
ISSN | |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
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dc.contributor.author | Cheng, SWK | en_HK |
dc.contributor.author | W Ting, AC | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2010-09-06T08:36:58Z | - |
dc.date.available | 2010-09-06T08:36:58Z | - |
dc.date.issued | 2001 | en_HK |
dc.identifier.citation | Cardiovascular Surgery, 2001, v. 9 n. 2, p. 133-140 | en_HK |
dc.identifier.issn | 0967-2109 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/83097 | - |
dc.description.abstract | Purpose: To determine the early and midterm results of femoro-popliteal angioplasty with adjunctive stenting and to identify factors affecting early and continuing success. Methods: Sixty-nine consecutive balloon angioplasty procedures on the superficial femoral artery (SFA) were performed in 60 limbs and 55 patients in the operating theater. Fifty-two percent of lesions were occlusions, and 87% involved the distal half or the whole segment of the SFA. Immediate endovascular stenting was used in all procedures, involving the placement of 105 stents, with a mean stented length of 13.8cm. Twenty-nine procedures (43%) were performed for critical ischemia. Three-monthly duplex ultrasound was used for follow up assessment, with stenosis of > 50% defined as the endpoint for failure. The patient demographic and biochemical data, and procedural details were correlated with success criteria according to Society of Vascular Surgery standards. Results: Initial technical success by intent to treat was 92%, with four procedure-related complications and no deaths. Initial success by anatomic, hemodynamic and clinical criteria were 98.3, 96.7 and 93.3% respectively (92.2, 90.6 and 87.5% by intent to treat). Cumulative primary patency at 6, 12, and 24months was 73.1, 62.6 and 53.8%, and secondary patency 84.9, 72.1 and 72.1% correspondingly. Significant factors relating to inferior patency were occlusions, stented segment length >10cm, procedure in claudicants, and the use of the Memotherm stent. Conclusions: Angioplasty and stenting of the superficial femoral artery has acceptable primary and secondary patency rates even in the presence of long stenosis and occlusions. A duplex surveillance program is recommended for early detection and timely treatment of restenosis. Copyright © 2001 The International Society for Cardiovascular Surgery. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Lippincott Williams & Wilkins. | en_HK |
dc.relation.ispartof | Cardiovascular Surgery | en_HK |
dc.rights | Cardiovascular Surgery. Copyright © Lippincott Williams & Wilkins. | en_HK |
dc.subject | Angioplasty | en_HK |
dc.subject | Femoral artery | en_HK |
dc.subject | Stents | en_HK |
dc.title | Endovascular stenting of superficial femoral artery stenosis and occlusions: results and risk factor analysis | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Cheng, SWK: wkcheng@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Cheng, SWK=rp00374 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/S0967-2109(00)00109-5 | en_HK |
dc.identifier.pmid | 11250175 | - |
dc.identifier.scopus | eid_2-s2.0-0035101740 | en_HK |
dc.identifier.hkuros | 58866 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0035101740&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 9 | en_HK |
dc.identifier.issue | 2 | en_HK |
dc.identifier.spage | 133 | en_HK |
dc.identifier.epage | 140 | en_HK |
dc.identifier.isi | WOS:000167640700004 | - |
dc.identifier.scopusauthorid | Cheng, SWK=7404684779 | en_HK |
dc.identifier.scopusauthorid | W Ting, AC=7102858552 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0967-2109 | - |