Mid-Term Outcomes of Stent Overlap in Long Total Occluded Lesions of Superficial Femoral Artery

Background: Superficial femoral artery chronic total occlusion (SCTO) is a common type of peripheral arterial disease (PAD). Endovascular therapy is a treatment approach that has a poor long-term success rate in this group. The aim of this study was to compare the mid-term results of two different uses of nitinol stents in long SCTO lesions (>100 mm): the use of one long stent or two shorter stents. Material/Methods: Of 154 patients who underwent percutaneous infrainguinal interventions from 2011 to 2014, a total of 170 CTO lesions were selected for this retrospective study analysis. The mean age of the study population was 63.4 +/- 10.4 years (range 29-89 years); 71.8% of the patients were male. Results: Patients were divided into two groups according to the number of stents used. Patients treated with a single stent were placed into group A and patients treated with two stents were placed into group B. The stent fracture rate was significantly higher in group B compared to group A (29.2% vs. 42%). Type 1 and 2 fracture rates were higher in group A, but type 3 and 5 fracture rates were significantly higher in group B. The rate of stent restenosis was significantly higher in group B compared to group A (45.1% vs. 54.5%, p=0.05). Conclusions: Mid-term patency rate was low in patients with long totally occluded superficial femoral artery (SFA) lesions. Using a long single stent had an acceptable mid-term patency rate compared to using a two stent strategy. Stent fracture seemed to be the main reason for in-stent restenosis in cases of multiple stenting. A long single stent strategy may be more appropriate and reasonable than a two stent strategy in the treatment of long SFA lesions.

Yazar Bildirici, Ulas
Aktas, Mujdat
Dervis, Emir
Celikyurt, Umut
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2943
Tek Biçim Adres 10.12659/MSM.902413
Konu Başlıkları Femoral Artery
Peripheral Vascular Diseases
Stents
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı MEDICAL SCIENCE MONITOR
Dergi Cilt Bilgisi 23
Sayfalar 3130 - 3135
Yayın Yılı 2017
Eser Adı
[dc.title]
Mid-Term Outcomes of Stent Overlap in Long Total Occluded Lesions of Superficial Femoral Artery
Yazar
[dc.contributor.author]
Bildirici, Ulas
Yazar
[dc.contributor.author]
Aktas, Mujdat
Yazar
[dc.contributor.author]
Dervis, Emir
Yazar
[dc.contributor.author]
Celikyurt, Umut
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
INT SCIENTIFIC LITERATURE, INC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: Superficial femoral artery chronic total occlusion (SCTO) is a common type of peripheral arterial disease (PAD). Endovascular therapy is a treatment approach that has a poor long-term success rate in this group. The aim of this study was to compare the mid-term results of two different uses of nitinol stents in long SCTO lesions (>100 mm): the use of one long stent or two shorter stents. Material/Methods: Of 154 patients who underwent percutaneous infrainguinal interventions from 2011 to 2014, a total of 170 CTO lesions were selected for this retrospective study analysis. The mean age of the study population was 63.4 +/- 10.4 years (range 29-89 years); 71.8% of the patients were male. Results: Patients were divided into two groups according to the number of stents used. Patients treated with a single stent were placed into group A and patients treated with two stents were placed into group B. The stent fracture rate was significantly higher in group B compared to group A (29.2% vs. 42%). Type 1 and 2 fracture rates were higher in group A, but type 3 and 5 fracture rates were significantly higher in group B. The rate of stent restenosis was significantly higher in group B compared to group A (45.1% vs. 54.5%, p=0.05). Conclusions: Mid-term patency rate was low in patients with long totally occluded superficial femoral artery (SFA) lesions. Using a long single stent had an acceptable mid-term patency rate compared to using a two stent strategy. Stent fracture seemed to be the main reason for in-stent restenosis in cases of multiple stenting. A long single stent strategy may be more appropriate and reasonable than a two stent strategy in the treatment of long SFA lesions.
Açıklama
[dc.description]
WOS: 000404622300002
Açıklama
[dc.description]
PubMed: 28649980
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Femoral Artery
Konu Başlıkları
[dc.subject]
Peripheral Vascular Diseases
Konu Başlıkları
[dc.subject]
Stents
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1643-3750
İlk Sayfa Sayısı
[dc.identifier.startpage]
3130
Son Sayfa Sayısı
[dc.identifier.endpage]
3135
Dergi Adı
[dc.relation.journal]
MEDICAL SCIENCE MONITOR
Dergi Cilt Bilgisi
[dc.identifier.volume]
23
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.12659/MSM.902413
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2943
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
8
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
05 Şubat 2024 04:42
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fracture patients higher stents lesions compared strategy single significantly restenosis patency femoral artery Patients treatment placed mid-term treated number Background reasonable appropriate stenting multiple in-stent reason seemed acceptable superficial according totally Mid-term Conclusions occluded groups
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