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J Endovasc Ther. 2004 Jun;11(3):281-6.

Stent-assisted angioplasty at the level of the common femoral artery bifurcation: midterm outcomes.

Author information

1
Department of Internal Medicine, Ospedale Regionale Locarno, Switzerland. hans.stricker@eoc.ch

Abstract

PURPOSE:

To report the midterm outcome after stent-assisted angioplasty of occlusive disease at the common femoral artery bifurcation.

METHODS:

Between 1995 and 2002, 27 consecutive patients (18 men; mean age 70 years, range 47-90) underwent angioplasty with stent implantation in 33 limbs; target sites included 19 common femoral arteries, the origins of 2 superficial or 4 profunda femoris arteries, and 8 bypass anastomoses.

RESULTS:

Technical success was 100%. Patients were followed for a mean 30 months (95% CI 21 to 39), at which time the cumulative primary patency was 86% (95% CI 85% to 88%). At 3 years, 83% of the arteries were patent. Five restenoses were due to neointimal hyperplasia in 4 cases (3 bypass grafts) and strut failure of the only balloon-expandable stent used in this series. Restenoses due to neointimal hyperplasia at bypass anastomoses (3/ 8) were more common than in native arteries (2/25) (p=0.078); cumulative primary patency for the bypass subgroup was 71% (95% CI 59% to 82%) at a mean 23-month follow-up; 75% and 60% of the anastomoses were patent after 1 and 2 years, respectively.

CONCLUSIONS:

Angioplasty of obstructions in the common femoral artery and its bifurcation with implantation of self-expanding stents shows good midterm primary patency. Native artery lesions have a better outcome than stenoses at bypass anastomoses. The procedure does not preclude further endovascular interventions at the puncture site.

PMID:
15174914
DOI:
10.1583/03-1169.1
[Indexed for MEDLINE]

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