Engelsk titel: Stenting of failing above-knee femoropopliteal percutaneous transluminal angioplasty
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Författare:
Pedersen G
;
Laxdal E
;
Wirsching J
;
Aune S
Email: gustav.pedersen@helse-bergen.no
Språk: Nor
Antal referenser: 8
Dokumenttyp:
Artikel
UI-nummer: 03101435
Sammanfattning
BACKGROUND : Percutaneous transluminal angioplasty (PTA) is increasingly used in the treatment of stenoses and short occlusions of the superficial femoral and proximal popliteal arteries. Routine treatment with arterial stents does not seem to improve the results compared to PTA without stent but the efficacy of stenting as a repair procedure of a failing PTA is not known.
PATIENTS AND METHODS : In our hospital, intraluminal arterial stenting of the above knee femoropopliteal segment has been used as a repair procedure when PTA alone fails because of dissection or recoil. From 1995 to 2001, 264 above-knee femoropopliteal PTAs were performed in 203 patients. Fifteen procedures were considered failures; these cases are reported in this study.
RESULTS : Arterial stents were successfully implanted in all fifteen patients. One year postoperatively, five stents had occluded, seven reconstructions were still patent. Three patients could not be followed up; they were diseased at the time of the study.
INTERPRETATION : In spite of the limited patency achieved, intraluminal arterial stenting in the above-knee femoropopliteal segment can be useful as a repair procedure when PTA alone fails.