NARROWED STENT AFTER ILIAC-FEMORAL ENDOVASCULAR INTERVENTION IN PATIENTS WITH CHRONIC LOWER EXTREMITY ARTERY DISEASE DUE TO ATHEROSCLEROSIS
Main Article Content
Abstract
Objective: To analysis of some factors affecting re-hospitalization due to narrow narrow stent again after iliac-femoral endovascular intervention in patients with chronic lower extremity artery disease due to atherosclerosis at the Institute of Cardiology in 2016-2017. Methods: The intervention study was performed on 64 limbs of 50 patients with chronic lower extremity artery disease who underwent endovascular intervention of the pelvis - femoral at the Cardiology Institute in 2016 - 2017. Result: There were 17.2% of lower extremities treated with narrow stent again in 6 months after the intervention. Factors that increased the risk of narrow stent again found in the study included an ankle-brachial index (ABI) less than 0.4; have multistage vascular lesions; have dyslipidemia; Using 2 or more stents and using stents longer than 16cm. Conclusion: The risk of narrow stent again after femoral endovascular intervention in patients with chronic atherosclerotic lower extremity artery disease is moderate, increased by the patient's cardiovascular risk factors.
Article Details
Keywords
Endovascular intervention of the iliac-femoral, chronic lower extremity arteries, narrow stent again.
References
2. Dung LD, Study on clinical, subclinical characteristics and effectiveness of treatment of lower extremity artery occlusive disease by endovascular intervention method, Level II specialized thesis, Military Medical Academy, Hanoi, 2012.
3. Lagana D, Carrafiello G, Dizonno M et al., Percutaneous treatment of complete chronic occlusions of the superficial femoral artery, Radiol Med, 2008, 113(4): 567-77.
4. Surowiec SM, Davies MG, Eberly SW et al., Percutaneous angioplasty and stenting of the superficial femoral artery, J Vasc Surg, 2015, 41(2): 269-78.
5. Krankenberg H, Tubler T, Sixt S et al., German multicenter real-world registry of stenting for superficial femoral artery disease: clinical results and predictive factors for revascularization, J Endovasc Ther, 2014, 21(4): 463-71.
6. Hung TD, Study on clinical, subclinical characteristics and results of endovascular intervention in patients with chronic lower extremity artery disease, Doctor of Medicine Thesis, Military Medical Academy, 2016.
7. Baril DT, Chaer RA, Rhee RY et al., Endovascular interventions for TASC II D femoropopliteal lesions", J Vasc Surg, 2010, 51(6): 1406-12.
8. Scheinert D, Scheinert S, Sax J et al., Prevalence and clinical impact of stent fractures after femoropopliteal stenting, J Am Coll Cardiol, 2010, 45(2): 312-5.
9. Iida O, Nanto S, Uematsu M et al., Effect of exercise on frequency of stent fracture in the superficial femoral artery, Am J Cardiol, 2006, 98(2): 272-4.
10. Elyasaf L, Saar G , Moshe B, Mechanical Interaction between Overlapping Stents and Peripheral Arteries -Numerical Model, IEEE European Modelling Symposium, 2015.