The short-long term therapeutic effects of endovascular therapy for in-stent restenosis of superficial femoral artery
10.3760/cma.j.issn.1007-631X.2014.08.006
- VernacularTitle:股浅动脉支架术后闭塞的再次腔内治疗
- Author:
Lingfeng ZHAO
;
Wei YE
;
Weiwei WU
;
Rong ZENG
;
Changwei LIU
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Angioplasty;
Postoperative complications;
Reoperation
- From:
Chinese Journal of General Surgery
2014;29(8):588-591
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate therapeutic effects of endovascular therapy for in-stent restenosis of superficial femoral artery,and the risk factors of restenosis of re-intervention therapy.Methods We retrospectively summarized the clinical data of 35 patients(38limbs)who suffered from in-stent restenosis of superficial femoral artery(SFA)stent from 2010 to 2012.Results 35 patients (38 limbs)were enrolled in this study,there were 24 males and 11 females.Mean age was (68 ±8)years.The success rate of endovascular therapy was 89.5% (34/38),including in-stent angioplasty in 14 limbs,in-stent and beyond-stent angioplasty in 5 limbs,in-stent angioplasty and beyond-stent re-stenting in 15 cases.The primary patency and sencondary patency rate for 6,12 and 24 months was 65.2%,46.5%,46.5%,and 87.5%,80.2%,55.8% respectively.The independent risk factors for re-obliteration were age > 70 years (P < 0.05) and diabetes mellitus (P < 0.05).Conclusions Endovascular therapy is effective and safe in treatment in-stent restenosis of superficial femoral artery.The long-term in-stent patency is not satisfactory,with age > 70 years and diabetes mellitus as independent risk factors.