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Balloon Angioplasty versus Implantation of Nitinol Stents in the Superficial Femoral Artery
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Balloon Angioplasty versus Implantation of Nitinol Stents in the Superficial Femoral Artery
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Journal Article
Balloon Angioplasty versus Implantation of Nitinol Stents in the Superficial Femoral Artery
2006
Overview
Implantation of stainless-steel stents for disease of the superficial femoral artery has been associated with high rates of late clinical failure, and balloon angioplasty is therefore the preferred procedure. In this randomized trial, the use of nitinol stents was associated with lower rates of restenosis and better treadmill exercise performance at 6 months and 12 months than was the use of balloon angioplasty.
The use of nitinol stents was associated with lower rates of restenosis and better treadmill exercise performance at 6 months and 12 months than was the use of balloon angioplasty.
The use of percutaneous transluminal angioplasty to revascularize the superficial femoral artery can result in initial technical success rates of more than 95 percent, with a low risk of complications.
1
However, late clinical failure remains an important concern. Restenosis occurs in 40 to 60 percent of treated segments after one year.
1
–
3
The use of angioplasty to treat extensive disease of the superficial femoral artery has particularly poor results: at one year, the rates of restenosis exceed 70 percent for lesions longer than 100 mm.
4
Endovascular stenting avoids the problems of early elastic recoil, residual stenosis, and flow-limiting dissection after . . .
Publisher
Massachusetts Medical Society
Subject
/ Alloys
/ Biological and medical sciences
/ Female
/ Femoral Artery - diagnostic imaging
/ Humans
/ Intermittent Claudication - diagnostic imaging
/ Intermittent Claudication - etiology
/ Intermittent Claudication - therapy
/ Ischemia
/ Male
/ Peripheral Vascular Diseases - complications
/ Peripheral Vascular Diseases - therapy
/ Stents
