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Drug-coated balloon angioplasty for the treatment of edge stenosis after self-expanding covered stent placement for superficial femoral artery occlusive disease
- Source :
- Vascular, 29(1), 108-115. SAGE Publications
- Publication Year :
- 2020
- Publisher :
- SAGE Publications, 2020.
-
Abstract
- Background Edge stenoses are the predominant limitation of self-expanding covered stent treatment of superficial femoral artery (SFA) occlusive disease, necessitating reinterventions. Angioplasty of an edge stenosis is associated with a high recurrence rate. Drug-coated balloon (DCB) treatment of edge stenoses might improve outcomes by decreasing the incidence of restenosis. Purpose The aim of this study was to evaluate the outcomes of using a DCB for the treatment of edge stenoses after self-expanding covered stent placement for SFA occlusive disease. Method We performed a retrospective analysis of patients treated with a DCB for edge stenoses after self-expanding covered stent placement. The primary endpoint was primary patency at one year. The secondary endpoints included procedure-related complications, secondary patency, and freedom from target lesion revascularization (TLR). Results A total of 21 patients with 28 edge stenoses were included. The time from primary treatment to treatment of the edge stenosis was 19 months (interquartile range (IQR) 8; 52 months). Primary patency and assisted primary patency at one year were 66.7% with a secondary patency of 90.9%. Freedom from TLR was 86.1%, and freedom from clinically driven TLR was 89.4%. Four patients presented with a hemodynamically significant restenosis, and three of those patients had an occlusion. Median time to failure was six months (IQR 3.5; 7.0 months), and median time to occlusion was four months (IQR 3.0; 6.0 months). Conclusion The treatment of edge stenoses using a DCB is associated with a safe one-year outcome; however, this has to be confirmed in larger prospective studies. The continuous surveillance of patients is indicated.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Drug coated balloon
medicine.medical_treatment
edge stenosis
Occlusive disease
Constriction, Pathologic
superficial femoral artery
030204 cardiovascular system & hematology
peripheral artery disease
Peripheral Arterial Disease
03 medical and health sciences
0302 clinical medicine
Coated Materials, Biocompatible
Risk Factors
Angioplasty
medicine
Humans
Radiology, Nuclear Medicine and imaging
030212 general & internal medicine
self-expanding covered stent
Vascular Patency
Covered stent
Aged
Retrospective Studies
Superficial femoral artery
business.industry
General Medicine
Middle Aged
medicine.disease
n/a OA procedure
Surgery
Femoral Artery
drug-eluting balloon
Stenosis
Treatment Outcome
Viabahn endoprosthesis
Retreatment
Female
Stents
Drug-coated balloon
Cardiology and Cardiovascular Medicine
Drug eluting balloon
business
Angioplasty, Balloon
Vascular Access Devices
Subjects
Details
- ISSN :
- 1708539X and 17085381
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Vascular
- Accession number :
- edsair.doi.dedup.....1fa5a90eff55af432d5bc78a8f369d91