Innovative use of self-expanded polytetrafluoroethylene endoprosthesis for percutaneous endovascular interventions

Catheter Cardiovasc Interv. 2013 Mar;81(4):719-26. doi: 10.1002/ccd.23498. Epub 2012 Oct 8.

Abstract

VIABAHN® endoprosthesis (Gore & Associates, Flagstaff, AZ), a nitinol self-expanding polytetrafluoroethylene (PTFE) lined stent, has demonstrated utility for percutaneous treatment of chronic occlusive disease involving the superficial femoral artery. In a case series communication we aimed to describe the feasibility of a PTFE-lined stent for percutaneous treatment of conditions other than chronic occlusive disease. We report the successful use of PTFE-endoprosthesis to percutaneously treat several vascular conditions, including arterio-venous fistula closure, reconstruction of a distal limb of an aorto-femoral endoprosthesis aneurysm, femoral artery perforation repair, and an exclusion of large saphenous vein graft aorto-coronary bypass aneurysm. This case series illustrates the feasibility of the "off-label" use of self-expanded PTFE endoprosthesis to percutaneously treat several conditions, which would otherwise require "open" surgical reconstructions.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aneurysm / therapy
  • Arteriovenous Fistula / therapy
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Coronary Artery Bypass / adverse effects
  • Endovascular Procedures / instrumentation*
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / injuries
  • Femoral Vein / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Polytetrafluoroethylene*
  • Prosthesis Design
  • Saphenous Vein / diagnostic imaging
  • Saphenous Vein / transplantation
  • Stents*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Ultrasonography, Interventional
  • Vascular Diseases / diagnosis
  • Vascular Diseases / etiology
  • Vascular Diseases / therapy*
  • Vascular System Injuries / therapy

Substances

  • Polytetrafluoroethylene