Search Above-the-knee... as keywords on MyScienceWork's publications...

We assessed the long-term safety and efficacy of endovascular stent grafting to treat long complex lesions in the superficial femoral artery SFA The present prospective multicenter study at 15 Japanese hospitals assessed heparin-bonded stent grafts used to treat long SFA lesions in patients with symptomatic peripheral arterial disease The inclusion criteria were Rutherford category 2 to 5 symptoms grade 5 without active infection an ankle brachial index of 0 9 and SFA lesions 10 cm long with 50 stenosis The key efficacy and safety outcomes were primary-assisted patency and adverse events through 24 months respectively The secondary outcomes included primary patency secondary patency freedom from target lesion revascularization fTLR and Vascular Quality of Life questionnaire score Of the 103 patients mean age 74 2 7 0 years 82 5 male 100 97 1 had intermittent claudication The average lesion length was 21 8 5 8 cm 87 lesions 84 5 were TASC Trans-Atlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease C or D 65 7 chronic total occlusions Of the 103 patients 92 and 61 were evaluable through 24 and 60 months respectively At 24 months the Kaplan-Meier-estimated primary-assisted patency primary patency and secondary patency rate was 85 7 95 confidence interval CI 76 3 -91 5 78 8 95 CI 68 8 -85 9 and 92 0 95 CI 82 4 -96 5 respectively The mean ankle brachial index was 0 64 0 12 at baseline and 0 94 0 19 at 24 months P 0001 At 24 and 60 months the fTLR was 87 2 95 CI 78 9 -92 3 and 79 1 95 CI 67 9 -86 8 respectively No device- or procedure-related life- or limb-threatening critical events or acute limb ischemia cases were observed through 5 years No stent fractures were detected on the annually scheduled follow-up radiographs The vascular quality of life questionnaire and walking impairment questionnaire scores were significantly increased at 1 through 24 months compared with the baseline scores P 0001 for both One patient had required conversion to open bypass during the 5-year follow-up period Stent grafting of long and complex SFA lesions in patients with claudication is safe and effective through long-term follow-up with 79 1 fTLR and no leg amputation acute limb ischemia or stent fractures through 5 years Copyright 2021 The Authors Published by Elsevier Inc All rights reserved

Publication search with Above-the-knee open bypass surgery as keyword

Long-term results of the Japanese multicenter Viabahn trial of heparin bonded endovascular stent grafts for long and com...

Publication search
with Above-the-knee open bypass surgery as keyword