Impact of number of run-off vessels on interwoven nitinol mesh stents patency in the femoropopliteal segment  

作　　者：Gianluca Rigatelli Marco Zuin Fabio Dell’Avvocata Dobrin Vassilev Stefano Barison Sabrina Osti Alberto Mazza Alberto Sacco 

机构地区：[1]Cardiovascular Diagnosis and Endoluminal Interventions,Rovigo General Hospital,Rovigo,Italy [2]University of Ferrara,School of Medicine,Ferrara,Italy [3]Alexandroska University Hospital,School of Medicine,Sofia,Bulgaria [4]Department of Internal Medicine,Rovigo General Hospital,Rovigo,Italy [5]Department of Surgery,Vascular Surgery Unit,Rovigo General Hospital,Rovigo,Italy

出　　处：《Journal of Geriatric Cardiology》2020年第9期561-565,共5页老年心脏病学杂志（英文版）

摘　　要：Objective To evaluate the impact of run-off vessels number on the outcomes of Supera stent(Abbott Vascular,Santa Clara,Calif,USA)for treatment of femoropopliteal occlusive disease.Methods We retrospectively evaluated the medical records of 188 consecutive patients(mean age 68.2±9.6 years,100 males)undergone angiography and woven mesh stent implantation in femoral or popliteal arteries or both arterial segments,in our institution between January 12014 and January 12018.Target lesion revascularization and major adverse limb events at 12-month were evaluated comparing patients with 1-,2-or 3-run-off vessels in the foot.Results Interventional success was achieved in 100%.Stent implantation involved in the femoral site in 56 patients(30.3%),the femoropopliteal in 92 patients(48.9%)and the popliteal site in 40 patients(21.3%).A significant improvement of ankle-brachial index(0.29±0.6 vs.0.88±0.3,P<0.001)and Rutherford class(5.3±0.8 vs.0.7±1.9,P<0.01)were observed before discharge.The median follow-up duration was 12.3 months(inter quartile range:11.0 to 13.9).During the follow-up period,52 patients(27.6%)had clinical events.Primary patency at 12 months was 72.4%.The primary patency significantly increased when the runoff status.Comparing the number of events among patients with different number of run-off vessels,a significant difference(P<0.001)was observed for patients having one(24.0%)and two run-off vessels(15.0%).Conclusions The outcomes of Supera stent in femoropopliteal occlusive disease depend strictly on the number of run-off vessels.

关 键 词：Drug-coated balloon Femoro-popliteal restenosis Stent 

分 类 号：R654.3[医药卫生—外科学]