Comparison of small intestinal submucosa-covered and noncovered nitinol stents with PTFE endografts in injured ovine femoral arteries: A pilot study

The purpose of this study was to compare performance of small intestinal submucosa (SIS)-covered endografts (SCEs) to polytetra-fluoroethylene (PTFE)-covered endografts (PCEs) and to bare nitinol stents (BSs) in injured sheep femoral artery (FA). Bare Zilver 6 mm X 40 mm nitinol stents (n = 6), Zilv...

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Veröffentlicht in:Cardiovascular and interventional radiology 2003-09, Vol.26 (5), p.459-467
Hauptverfasser: NAKATA, Manabu, PAVCNIK, Dusan, ROSCH, Josef, UCHIDA, Barry T, VANALSTINE, William, TIMMERMANS, Hans A, TOYOTA, Naoyuki, TERADA, Masaki, BROUNTZOS, Elias, KAUFMAN, John A, KELLER, Frederick S
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container_end_page 467
container_issue 5
container_start_page 459
container_title Cardiovascular and interventional radiology
container_volume 26
creator NAKATA, Manabu
PAVCNIK, Dusan
ROSCH, Josef
UCHIDA, Barry T
VANALSTINE, William
TIMMERMANS, Hans A
TOYOTA, Naoyuki
TERADA, Masaki
BROUNTZOS, Elias
KAUFMAN, John A
KELLER, Frederick S
description The purpose of this study was to compare performance of small intestinal submucosa (SIS)-covered endografts (SCEs) to polytetra-fluoroethylene (PTFE)-covered endografts (PCEs) and to bare nitinol stents (BSs) in injured sheep femoral artery (FA). Bare Zilver 6 mm X 40 mm nitinol stents (n = 6), Zilver stents covered with SIS (n = 6), and Palmaz stents 6 mm x 37 mm covered with PTFE (n = 6) were implanted in the balloon-injured FAs of nine female sheep. Follow-up arteriograms were obtained before animal sacrifice at 1, 3 and 6 months, with three animals at each time point. The FAs with the implanted device were explanted for histologic studies and morphologic measurements. Stent implantation was technically successful in all sheep. All BS and SCEs were patent at each time point. Five BSs and five SCEs exhibited formation of progressive eccentric intimal hyperplasia (IH) that was more advanced in SCE at 6 months. Cross-sectional area narrowing averaged 60% for BSs and 67% for SCEs. One BS, one SCE and two patent PCEs exhibited mild-to-moderate formation of concentric IH. Four PCS occluded one at 1 month, two at 3 months and one at 6 months. Performance of the devices placed into sheep FAs depended on their relation to the curving peri-articular portion of the FA during extremity flexion. BSs and SCEs placed in this portion exhibited progressive growth of eccentric IH while PCEs placed in this portion occluded.
doi_str_mv 10.1007/s00270-003-3008-z
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Performance of the devices placed into sheep FAs depended on their relation to the curving peri-articular portion of the FA during extremity flexion. BSs and SCEs placed in this portion exhibited progressive growth of eccentric IH while PCEs placed in this portion occluded.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>14753305</pmid><doi>10.1007/s00270-003-3008-z</doi><tpages>9</tpages></addata></record>
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subjects Alloys
Animals
ARTERIES
Biological and medical sciences
Cardiology. Vascular system
Female
Femoral Artery - injuries
Femoral Artery - surgery
Graft Occlusion, Vascular - pathology
Intestinal Mucosa - transplantation
Intestine, Small - transplantation
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Models, Animal
NICKEL ALLOYS
Pilot Projects
POLYTETRAFLUOROETHYLENE
RADIOLOGY AND NUCLEAR MEDICINE
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
SHEEP
Stents
TITANIUM ALLOYS
VASCULAR DISEASES
title Comparison of small intestinal submucosa-covered and noncovered nitinol stents with PTFE endografts in injured ovine femoral arteries: A pilot study
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