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Stenting as a bail-out option after failed percutaneous transluminal angioplasty in infrainguinal vein bypass grafts.
- Source :
- Vascular; Aug2016, Vol. 24 Issue 4, p383-389, 7p
- Publication Year :
- 2016
-
Abstract
- <bold>Objectives: </bold>To study the safety and efficacy of bare and covered stents in infrainguinal vein grafts after failure of PTA for treating graft stenoses.<bold>Methods: </bold>An analysis of a prospective database of all patients who underwent stenting of infrainguinal vein bypass grafts at this institution between 1 January 2008 and 31 December 2012 was carried out. The main outcome considered was primary patency, which was reported at 1, 6 and 12 months.<bold>Results: </bold>A total of 18 patients with a mean age of 73 years (range: 56 to 86) were included. The indications for stent placement were significant recoil (7, 39%), graft rupture (6, 33%), residual vein cusps (3, 17%) and aneurysmal degeneration (2, 11%). There was a high overall technical success rate of 94% (17/18) and arrest of haemorrhage was achieved in all cases of graft rupture. The primary patency at 1, 6 and 12 months was 89%, 71% and 59%, respectively.<bold>Conclusion: </bold>The use of bare and covered stents in infrainguinal vein grafts appears safe and effective. They are an excellent bail-out option for the treatment of graft rupture and give acceptable short-term results. [ABSTRACT FROM AUTHOR]
- Subjects :
- VEIN transplantation
TREATMENT of surgical complications
BLOOD circulation
CLINICAL trials
DATABASES
VASCULAR resistance
REOPERATION
SURGICAL stents
SURGICAL complications
TIME
TRANSLUMINAL angioplasty
VASCULAR grafts
VEINS
VENOGRAPHY
TREATMENT effectiveness
RETROSPECTIVE studies
KAPLAN-Meier estimator
EQUIPMENT & supplies
Subjects
Details
- Language :
- English
- ISSN :
- 17085381
- Volume :
- 24
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Vascular
- Publication Type :
- Academic Journal
- Accession number :
- 116905678
- Full Text :
- https://doi.org/10.1177/1708538115602835