Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency
Background: Despite considerable morbid-mortality rates, common femoral endarterectomy is still considered the gold standard for atherosclerotic common femoral artery (CFA) disease. The aim of this study was to demonstrate computed tomography angiography based long-term patency after CFA stent place...
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| Veröffentlicht in: | Vascular and endovascular surgery 2021-08, Vol.55 (6), p.571-576 |
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| creator | Martin, Rabellino Vanesa G, Di Caro Raleigh, Juan Valle Jose, Chas Vadim, Kotowicz Maynar, Manuel Zander, Tobias |
| description | Background:
Despite considerable morbid-mortality rates, common femoral endarterectomy is still considered the gold standard for atherosclerotic common femoral artery (CFA) disease. The aim of this study was to demonstrate computed tomography angiography based long-term patency after CFA stent placement and to analyze associated risk factors for restenosis.
Methods:
A retrospective and observational study was carried out in consecutive patients treated with endovascular stent placement in CFA lesions. A clinical follow-up and imaging study was performed using MD-CTA to assess different degrees of in stent restenosis (ISR) and primary, assisted, and secondary patency rates.
Results:
In a 5-year period, 35 extremities were treated in 33 patients with self-expandable nitinol stents. The technical success was 100% without complications related to the procedure. The mean follow-up (FU) was 32.2 months, and 8 limbs were lost. The degree of CFA stenosis was reduced from 79.69 ± 26.47% to 11.23 ± 24.53%. ISR < 20%, 20–70%, and ≥ 70% was evident in 15 (55.6%), 9 (33.3%), and 3 (11.1%) limbs, respectively. Estimated primary, assisted, and secondary patency was 79.5, 96.3, and 96.3%, respectively, after 24 months and 79.5, 96.3, and 96.3%, respectively after 60 months, with a freedom of clinical driven target lesion revascularisation rate of 87.8%.
Conclusion:
Endovascular treatment with self-expandable nitinol stents in CFA lesions had a high technical success rate and was related to few complications. A mild form of intimal hyperplasia was observed in a considerable number of cases. However, long-term patency was high; therefore, CFA stent placement might be a suitable therapeutic alternative in selected patients. |
| doi_str_mv | 10.1177/15385744211010447 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2519316582</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_15385744211010447</sage_id><sourcerecordid>2519316582</sourcerecordid><originalsourceid>FETCH-LOGICAL-c340t-e3f665479db5048420bc6bb003d7e75596d15f2045e027e5181bf10b65a732003</originalsourceid><addsrcrecordid>eNp9kE9Lw0AUxBdRbK1-AC-So5fUfdl_ibdarAoFBSsewybZxJRsNu4mh3x7t7T1Inh6A_ObgTcIXQOeAwhxB4zETFAaAWDAlIoTNIWExGECwE-99n64AybowrktxhADjc_RhJAEc8bYFH0ujdamDVZKGyubYGF7ZcfgvVdtX7fVfeD9buhVEWyMNpWV3dcYLNqqPuoH6by5Nm0VbpTVwZv00Xy8RGelbJy6OtwZ-lg9bpbP4fr16WW5WIc5obgPFSk5Z1QkRcYwjWmEs5xnGcakEEowlvACWBlhyhSOhGL-gawEnHEmBYk8NkO3-97Omu9BuT7VtctV08hWmcGlEfODAGdx5FHYo7k1zllVpp2ttbRjCjjd7Zn-2dNnbg71Q6ZV8Zs4DuiB-R5wslLp1gy29e_-0_gD-gl7mQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2519316582</pqid></control><display><type>article</type><title>Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Martin, Rabellino ; Vanesa G, Di Caro ; Raleigh, Juan Valle ; Jose, Chas ; Vadim, Kotowicz ; Maynar, Manuel ; Zander, Tobias</creator><creatorcontrib>Martin, Rabellino ; Vanesa G, Di Caro ; Raleigh, Juan Valle ; Jose, Chas ; Vadim, Kotowicz ; Maynar, Manuel ; Zander, Tobias</creatorcontrib><description>Background:
Despite considerable morbid-mortality rates, common femoral endarterectomy is still considered the gold standard for atherosclerotic common femoral artery (CFA) disease. The aim of this study was to demonstrate computed tomography angiography based long-term patency after CFA stent placement and to analyze associated risk factors for restenosis.
Methods:
A retrospective and observational study was carried out in consecutive patients treated with endovascular stent placement in CFA lesions. A clinical follow-up and imaging study was performed using MD-CTA to assess different degrees of in stent restenosis (ISR) and primary, assisted, and secondary patency rates.
Results:
In a 5-year period, 35 extremities were treated in 33 patients with self-expandable nitinol stents. The technical success was 100% without complications related to the procedure. The mean follow-up (FU) was 32.2 months, and 8 limbs were lost. The degree of CFA stenosis was reduced from 79.69 ± 26.47% to 11.23 ± 24.53%. ISR < 20%, 20–70%, and ≥ 70% was evident in 15 (55.6%), 9 (33.3%), and 3 (11.1%) limbs, respectively. Estimated primary, assisted, and secondary patency was 79.5, 96.3, and 96.3%, respectively, after 24 months and 79.5, 96.3, and 96.3%, respectively after 60 months, with a freedom of clinical driven target lesion revascularisation rate of 87.8%.
Conclusion:
Endovascular treatment with self-expandable nitinol stents in CFA lesions had a high technical success rate and was related to few complications. A mild form of intimal hyperplasia was observed in a considerable number of cases. However, long-term patency was high; therefore, CFA stent placement might be a suitable therapeutic alternative in selected patients.</description><identifier>ISSN: 1538-5744</identifier><identifier>EISSN: 1938-9116</identifier><identifier>DOI: 10.1177/15385744211010447</identifier><identifier>PMID: 33906555</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Alloys ; Computed Tomography Angiography ; Constriction, Pathologic ; Endovascular Procedures - adverse effects ; Endovascular Procedures - instrumentation ; Female ; Femoral Artery - diagnostic imaging ; Femoral Artery - physiopathology ; Humans ; Male ; Middle Aged ; Peripheral Arterial Disease - diagnostic imaging ; Peripheral Arterial Disease - physiopathology ; Peripheral Arterial Disease - therapy ; Predictive Value of Tests ; Recurrence ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Self Expandable Metallic Stents ; Time Factors ; Treatment Outcome ; Vascular Patency</subject><ispartof>Vascular and endovascular surgery, 2021-08, Vol.55 (6), p.571-576</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-e3f665479db5048420bc6bb003d7e75596d15f2045e027e5181bf10b65a732003</citedby><cites>FETCH-LOGICAL-c340t-e3f665479db5048420bc6bb003d7e75596d15f2045e027e5181bf10b65a732003</cites><orcidid>0000-0002-4816-4026 ; 0000-0001-7258-6061 ; 0000-0002-2254-3837</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/15385744211010447$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/15385744211010447$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33906555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin, Rabellino</creatorcontrib><creatorcontrib>Vanesa G, Di Caro</creatorcontrib><creatorcontrib>Raleigh, Juan Valle</creatorcontrib><creatorcontrib>Jose, Chas</creatorcontrib><creatorcontrib>Vadim, Kotowicz</creatorcontrib><creatorcontrib>Maynar, Manuel</creatorcontrib><creatorcontrib>Zander, Tobias</creatorcontrib><title>Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency</title><title>Vascular and endovascular surgery</title><addtitle>Vasc Endovascular Surg</addtitle><description>Background:
Despite considerable morbid-mortality rates, common femoral endarterectomy is still considered the gold standard for atherosclerotic common femoral artery (CFA) disease. The aim of this study was to demonstrate computed tomography angiography based long-term patency after CFA stent placement and to analyze associated risk factors for restenosis.
Methods:
A retrospective and observational study was carried out in consecutive patients treated with endovascular stent placement in CFA lesions. A clinical follow-up and imaging study was performed using MD-CTA to assess different degrees of in stent restenosis (ISR) and primary, assisted, and secondary patency rates.
Results:
In a 5-year period, 35 extremities were treated in 33 patients with self-expandable nitinol stents. The technical success was 100% without complications related to the procedure. The mean follow-up (FU) was 32.2 months, and 8 limbs were lost. The degree of CFA stenosis was reduced from 79.69 ± 26.47% to 11.23 ± 24.53%. ISR < 20%, 20–70%, and ≥ 70% was evident in 15 (55.6%), 9 (33.3%), and 3 (11.1%) limbs, respectively. Estimated primary, assisted, and secondary patency was 79.5, 96.3, and 96.3%, respectively, after 24 months and 79.5, 96.3, and 96.3%, respectively after 60 months, with a freedom of clinical driven target lesion revascularisation rate of 87.8%.
Conclusion:
Endovascular treatment with self-expandable nitinol stents in CFA lesions had a high technical success rate and was related to few complications. A mild form of intimal hyperplasia was observed in a considerable number of cases. However, long-term patency was high; therefore, CFA stent placement might be a suitable therapeutic alternative in selected patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alloys</subject><subject>Computed Tomography Angiography</subject><subject>Constriction, Pathologic</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Endovascular Procedures - instrumentation</subject><subject>Female</subject><subject>Femoral Artery - diagnostic imaging</subject><subject>Femoral Artery - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peripheral Arterial Disease - diagnostic imaging</subject><subject>Peripheral Arterial Disease - physiopathology</subject><subject>Peripheral Arterial Disease - therapy</subject><subject>Predictive Value of Tests</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Self Expandable Metallic Stents</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>1538-5744</issn><issn>1938-9116</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9Lw0AUxBdRbK1-AC-So5fUfdl_ibdarAoFBSsewybZxJRsNu4mh3x7t7T1Inh6A_ObgTcIXQOeAwhxB4zETFAaAWDAlIoTNIWExGECwE-99n64AybowrktxhADjc_RhJAEc8bYFH0ujdamDVZKGyubYGF7ZcfgvVdtX7fVfeD9buhVEWyMNpWV3dcYLNqqPuoH6by5Nm0VbpTVwZv00Xy8RGelbJy6OtwZ-lg9bpbP4fr16WW5WIc5obgPFSk5Z1QkRcYwjWmEs5xnGcakEEowlvACWBlhyhSOhGL-gawEnHEmBYk8NkO3-97Omu9BuT7VtctV08hWmcGlEfODAGdx5FHYo7k1zllVpp2ttbRjCjjd7Zn-2dNnbg71Q6ZV8Zs4DuiB-R5wslLp1gy29e_-0_gD-gl7mQ</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Martin, Rabellino</creator><creator>Vanesa G, Di Caro</creator><creator>Raleigh, Juan Valle</creator><creator>Jose, Chas</creator><creator>Vadim, Kotowicz</creator><creator>Maynar, Manuel</creator><creator>Zander, Tobias</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4816-4026</orcidid><orcidid>https://orcid.org/0000-0001-7258-6061</orcidid><orcidid>https://orcid.org/0000-0002-2254-3837</orcidid></search><sort><creationdate>202108</creationdate><title>Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency</title><author>Martin, Rabellino ; Vanesa G, Di Caro ; Raleigh, Juan Valle ; Jose, Chas ; Vadim, Kotowicz ; Maynar, Manuel ; Zander, Tobias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-e3f665479db5048420bc6bb003d7e75596d15f2045e027e5181bf10b65a732003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alloys</topic><topic>Computed Tomography Angiography</topic><topic>Constriction, Pathologic</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Endovascular Procedures - instrumentation</topic><topic>Female</topic><topic>Femoral Artery - diagnostic imaging</topic><topic>Femoral Artery - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peripheral Arterial Disease - diagnostic imaging</topic><topic>Peripheral Arterial Disease - physiopathology</topic><topic>Peripheral Arterial Disease - therapy</topic><topic>Predictive Value of Tests</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Self Expandable Metallic Stents</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martin, Rabellino</creatorcontrib><creatorcontrib>Vanesa G, Di Caro</creatorcontrib><creatorcontrib>Raleigh, Juan Valle</creatorcontrib><creatorcontrib>Jose, Chas</creatorcontrib><creatorcontrib>Vadim, Kotowicz</creatorcontrib><creatorcontrib>Maynar, Manuel</creatorcontrib><creatorcontrib>Zander, Tobias</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martin, Rabellino</au><au>Vanesa G, Di Caro</au><au>Raleigh, Juan Valle</au><au>Jose, Chas</au><au>Vadim, Kotowicz</au><au>Maynar, Manuel</au><au>Zander, Tobias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency</atitle><jtitle>Vascular and endovascular surgery</jtitle><addtitle>Vasc Endovascular Surg</addtitle><date>2021-08</date><risdate>2021</risdate><volume>55</volume><issue>6</issue><spage>571</spage><epage>576</epage><pages>571-576</pages><issn>1538-5744</issn><eissn>1938-9116</eissn><abstract>Background:
Despite considerable morbid-mortality rates, common femoral endarterectomy is still considered the gold standard for atherosclerotic common femoral artery (CFA) disease. The aim of this study was to demonstrate computed tomography angiography based long-term patency after CFA stent placement and to analyze associated risk factors for restenosis.
Methods:
A retrospective and observational study was carried out in consecutive patients treated with endovascular stent placement in CFA lesions. A clinical follow-up and imaging study was performed using MD-CTA to assess different degrees of in stent restenosis (ISR) and primary, assisted, and secondary patency rates.
Results:
In a 5-year period, 35 extremities were treated in 33 patients with self-expandable nitinol stents. The technical success was 100% without complications related to the procedure. The mean follow-up (FU) was 32.2 months, and 8 limbs were lost. The degree of CFA stenosis was reduced from 79.69 ± 26.47% to 11.23 ± 24.53%. ISR < 20%, 20–70%, and ≥ 70% was evident in 15 (55.6%), 9 (33.3%), and 3 (11.1%) limbs, respectively. Estimated primary, assisted, and secondary patency was 79.5, 96.3, and 96.3%, respectively, after 24 months and 79.5, 96.3, and 96.3%, respectively after 60 months, with a freedom of clinical driven target lesion revascularisation rate of 87.8%.
Conclusion:
Endovascular treatment with self-expandable nitinol stents in CFA lesions had a high technical success rate and was related to few complications. A mild form of intimal hyperplasia was observed in a considerable number of cases. However, long-term patency was high; therefore, CFA stent placement might be a suitable therapeutic alternative in selected patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33906555</pmid><doi>10.1177/15385744211010447</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4816-4026</orcidid><orcidid>https://orcid.org/0000-0001-7258-6061</orcidid><orcidid>https://orcid.org/0000-0002-2254-3837</orcidid></addata></record> |
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| ispartof | Vascular and endovascular surgery, 2021-08, Vol.55 (6), p.571-576 |
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| subjects | Aged Aged, 80 and over Alloys Computed Tomography Angiography Constriction, Pathologic Endovascular Procedures - adverse effects Endovascular Procedures - instrumentation Female Femoral Artery - diagnostic imaging Femoral Artery - physiopathology Humans Male Middle Aged Peripheral Arterial Disease - diagnostic imaging Peripheral Arterial Disease - physiopathology Peripheral Arterial Disease - therapy Predictive Value of Tests Recurrence Retrospective Studies Risk Assessment Risk Factors Self Expandable Metallic Stents Time Factors Treatment Outcome Vascular Patency |
| title | Common Femoral Artery Stenting: Computed Tomography Angiography Based Long-Term Patency |
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