Effect of preimplant endovascular debulking strategies on the deployment of nitinol self-expanding stents in superficial femoral arteries




Background


The effect of debulking on nitinol self-expanding (n-SES) stent deployment in the superficial femoral artery (SFA) has never been systematically assessed.




Objective


The objective was to evaluate hemodynamic differences in stented SFA segments, debulked or dilated by conventional balloons prior to n-SES implants.




Objective


The objective was to evaluate hemodynamic differences in stented SFA segments, debulked or dilated by conventional balloons prior to n-SES implants.




Methods


We evaluated 86 n-SES stents in 46 limbs of 40 unique patients. Comparisons between the two groups were made by measuring the peak systolic velocity ratios (PVRs) within stented segments (by duplex ultrasound). Resting ankle–brachial indices (ABI) and normalized difference between expected and measured stent diameters (NDEMD) were also assessed. The aforementioned measurements were obtained at <24 h (100% of limbs), 6 months (54.3% of limbs) and 1 year (54.3% of limbs) postprocedure.

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Effect of preimplant endovascular debulking strategies on the deployment of nitinol self-expanding stents in superficial femoral arteries

Full access? Get Clinical Tree

Get Clinical Tree app for offline access