Primary stenting of the superficial femoral and popliteal artery

Abstract

Primary stenting of the SFA and PA provides durable results in patients with TASC A and B lesions and may be an effective treatment strategy. This approach is significantly less effective when used in treating those with TASC C and D disease. Based on the results in this series, the use of primary stenting does not extend the anatomic limits of the current treatment recommendations for catheter-based intervention in patients with infrainguinal occlusive disease.

Atheromatous Occlusive Lesions of the Popliteal Artery Treated with Stent Grafts: Predictive Factors of Midterm Patency

“…It is interesting to note that among all the demographic, clinical, anatomic, and peroperative technical criteria that we analyzed, only the type of lesion (stenosis versus occlusion) and the number of stents were independent factors of secondary thrombosis. In a similar way, the type of lesion was reported by Dearing et al 26 as a factor influencing the primary patency after stenting of the superficial femoral artery and the multiplication of stents as a risk factor for stent fracture. These results lead us to recommend, as on the level of the superficial femoral artery, systematic stenting after recanalization of popliteal occlusions, and the deployment of only one long stent, rather than to associate 2 or several stents.…”

Late outcomes of balloon angioplasty and angioplasty with selective stenting for superficial femoral-popliteal disease are equivalent

“…The primary patency curve for the stented TASC II C & D patients is similar to several single institution studies in the literature. Dearing et al 28 There have been three meta-analyses that have attempted to address the question of the utility of primary stenting over POBA with selective stenting in the femoropopliteal segment. Muradin et al 30 published a review of 19 studies from 1993 to 2000 that included 923 POBAs and 473 stent placements.…”

Improved detection of in-stent restenosis by blood pool agent-enhanced, high-resolution, steady-state magnetic resonance angiography

“…1). Within every segment, the most severe stenosis was rated and classified according to the following four-point scale for stenosis gradation, as described previously [15]: No in-stent stenosis; insignificant in-stent stenosis (luminal diameter narrowing <50%); high-grade (relevant) stenosis (luminal diameter narrowing between 50% and 99%); or occlusion (100%). In the case of severe artefacts that interfered with accurate vessel lumen assessment, the segment was indicated to be not assessable (NA).…”