Early Results of Stenting for Chronic Artherosclerotic Occlusive Disease of Superficial Femoral Artery.
10.5758/kjves.2012.28.4.178
- Author:
Moon Il LEE
1
;
Yong Sun JEON
;
Soon Gu CHO
;
Eun Mi KONG
;
Jang Yong KIM
;
Kee Chun HONG
Author Information
1. Department of Surgery, Inha University School of Medicine, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
Femoral artery;
Atherosclerosis;
Angioplasty;
Intervention;
Stents
- MeSH:
Angioplasty;
Atherosclerosis;
Body Mass Index;
Consensus;
Diabetes Mellitus;
Femoral Artery;
Follow-Up Studies;
Gangrene;
Hospital Mortality;
Humans;
Hyperlipidemias;
Hypertension;
Kidney Failure, Chronic;
Myocardial Ischemia;
Obesity;
Retrospective Studies;
Stents;
Stroke;
Toes;
Ulcer
- From:Journal of the Korean Society for Vascular Surgery
2012;28(4):178-183
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the results of femoral artery stenting as a treatment of femoral artery occlusive disease, and to compare the primary patency and target lesion revascularization (TLR). METHODS: A retrospective review identified 38 patients who underwent femoral artery stenting from November 2008 to December 2010 in Inha University Hospital. Each lesion was classified according to the Trans-Atlantic Inter-Society Consensus II. Demographic, preoperative, intraoperative, and postoperative variables were collected. RESULTS: Forty cases of femoral artery stenting were done for 38 patients. The indications were claudication (47.4%), rest pain (13.2%), unhealed ulcer (13.2%), and toe gangrene (26.3%). The mean age and mean body mass index (BMI) were 72.50+/-8.19 years, and 23.0+/-0.05 kg/m2. There were 57.9% diabetes mellitus, 65.8% hypertension, 44.7% ischemic heart disease, 39.5% current smoker, 71.1% hyperlipidemia, 28.9% chronic renal failure (creatinine>1.5), 23.7% obesity (BMI>25), and 10.5% stroke. The mean follow-up was 12.1+/-0.03 months. There were no in-hospital mortality and 3 complications: 1 femoral artery dissection and 2 branch perforations. Six patients died and two symptomatic stent fractures were noted during the follow-up. One years' primary patency rate and TLR rate were 81.1% and 5.5%. CONCLUSION: Femoral artery stenting showed good results and can be a reasonable option. TLR can be considered as a new standard to evaluate the endovascular treatment.
