Korean J Vasc Endovasc Surg.  2012 Nov;28(4):178-183. 10.5758/kjves.2012.28.4.178.

Early Results of Stenting for Chronic Artherosclerotic Occlusive Disease of Superficial Femoral Artery

Affiliations
  • 1Department of Surgery, Inha University School of Medicine, Incheon, Korea.
  • 2Department of Radiology, Inha University School of Medicine, Incheon, Korea.
  • 3Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. inhags@naver.com

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.

Keyword

Femoral artery; Atherosclerosis; Angioplasty; Intervention; Stents

MeSH Terms

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
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