Radiology, Vol 201, 717-724, Copyright © 1996 by Radiological Society of North America

ARTICLES

Occlusive and aneurysmal peripheral arterial disease: assessment of a stent-graft system

M Henry, M Amor, A Cragg, JM Porte, I Henry, C Amicabile and O Tricoche
Interventional Cardiac and Surgery Unit, Polyclinic Essey Les Nancy, France.

PURPOSE: To assess the use of a recently developed stent-graft system for treatment of occlusive lesions and aneurysms in the iliac and femoropopliteal arteries. MATERIALS AND METHODS: The stent-graft consisted of a nitinol stent framework covered by a thin-walled polyester fabric. The device was used in 105 patients with symptomatic peripheral vascular disease. Implant locations were iliac artery (n = 38), femoral artery (n = 62), and popliteal artery (n = 5). RESULTS: Initial technical success was achieved in all patients except one with occlusive disease and one with aneurysmal disease. Residual stenosis after stent-graft implantation was 0.5% +/- 3. Mean ankle-brachial index increased from 0.53 to 0.98. Complications were hematoma (n = 3), pseudoaneurysm (n = 2), puncture site thrombosis (n = 1), early graft thrombosis (n = 8), graft misplacement (n = 1), distal embolization (n = 2), delayed thrombosis (n = 14), pain and fever (n = 27). At the iliac level, primary patency was 97% and secondary patency was 100%. At the femoral level, primary patency was 59% and secondary patency was 81%. CONCLUSION: Endoluminal bypass with a percutaneously delivered stent-graft is feasible. Technical results are good, and the number of complications is few at the iliac level. At the femoropopliteal level, patency is not as good and the number of complications is higher.

This article has been cited by other articles:

				T. Zeller Current state of endovascular treatment of femoro-popliteal artery disease Vascular Medicine, August 1, 2007; 12(3): 223 - 234. [Abstract] [PDF]

				C. Klonaris, A. Katsargyris, A. Giannopoulos, and E. Bastounis Advances in Endovascular Treatment of Femoropopliteal Arterial Occlusive Disease Perspectives in Vascular Surgery and Endovascular Therapy, December 1, 2006; 18(4): 329 - 341. [Abstract] [PDF]

				J-W Chung, Y-J Suh, J-H Choi, H-S Park, J-H Won, and C-H Suh Horner's syndrome as an initial manifestation of Takayasu's arteritis Ann Rheum Dis, July 1, 2003; 62(7): 682 - 684. [Full Text] [PDF]

				R. Ahmadi, M. Schillinger, T. Maca, and E. Minar Femoropopliteal Arteries: Immediate and Long-term Results with a Dacron-covered Stent-Graft Radiology, March 21, 2002; (2002) 2232010971. [Abstract] [Full Text]

				J. H. Park, J. W. Chung, J. H. Joh, S. Y. Song, S. J. Shin, K. S. Chung, D. Y. Lee, J. Y. Won, and S. J. Kim Aortic and Arterial Aneurysms in Behcet Disease: Management with Stent-Grafts—Initial Experience Radiology, September 1, 2001; 220(3): 745 - 750. [Abstract] [Full Text] [PDF]

				G. S. R. Muradin and M. G. Myriam Hunink Cost and Patency Rate Targets for the Development of Endovascular Devices to Treat Femoropopliteal Arterial Disease Radiology, February 1, 2001; 218(2): 464 - 469. [Abstract] [Full Text]

				J. Lammer, M. D. Dake, J. Bleyn, B. T. Katzen, M. Cejna, P. Piquet, G. J. Becker, and R. A. Settlage Peripheral Arterial Obstruction: Prospective Study of Treatment with a Transluminally Placed Self-expanding Stent-Graft Radiology, October 1, 2000; 217(1): 95 - 104. [Abstract] [Full Text]

				R. Ahmadi, M. Schillinger, T. Maca, and E. Minar Femoropopliteal Arteries: Immediate and Long-term Results with a Dacron-covered Stent-Graft Radiology, May 1, 2002; 223(2): 345 - 350. [Abstract] [Full Text] [PDF]