Twelve-month results of the EverFlex stent in the superficial femoral artery

Purpose To evaluate the clinical efficacy of EverFlex stents (length, 6-20 cm) for the treatment of peripheral artery disease (PAD) in the superficial femoral artery (SFA). Material and Methods Over a period of 18 months, 56 SFA lesions in 53 patients were treated with an EverFlex stent. The followi...

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Hauptverfasser: Diehl, Steffen J. (VerfasserIn) , Gerblich, Felix (VerfasserIn) , Jochum, Susanne (VerfasserIn) , Huck, Kurt (VerfasserIn) , Keese, Michael (VerfasserIn) , Schönberg, Stefan (VerfasserIn) , Sadick, Maliha (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 26 July 2012
In: Journal of vascular and interventional radiology
Year: 2012, Jahrgang: 23, Heft: 10, Pages: 1317-1322
ISSN:1535-7732
DOI:10.1016/j.jvir.2012.05.045
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1016/j.jvir.2012.05.045
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S1051044312005465
Volltext
Verfasserangaben:Steffen J. Diehl, Felix Gerblich, Susanne Jochum, Kurt Huck, Michael Keese, Stefan O. Schoenberg, Maliha Sadick

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520 |a Purpose To evaluate the clinical efficacy of EverFlex stents (length, 6-20 cm) for the treatment of peripheral artery disease (PAD) in the superficial femoral artery (SFA). Material and Methods Over a period of 18 months, 56 SFA lesions in 53 patients were treated with an EverFlex stent. The following parameters were documented before the intervention, immediately afterward, and 12 months later: clinical stage, ankle-brachial index, and peak systolic velocity ratio (PSVR). The primary study endpoint was the primary patency rate after 12 months (defined as a PSVR < 2.5). Results In 18% of the 56 lesions, complete occlusions were present. Mean lesion length was 9.4 cm ± 5.3, and mean stent length was 12.6 cm ± 5.6. Of the 53 patients enrolled in the study, a 12-month follow-up was performed in 46. The primary patency rate after 12 months was 71.7%. In-stent restenosis or occlusion occurred in 13 patients. Compared with the total study group, the mean stent length in these 13 patients was greater (14.0 cm ± 7.3) and the incidence of de novo lesions was lower. In the patient group with stents less than 10 cm in length (n = 24), six patients (25%) required a repeat intervention, compared with seven patients (32%) in the group with stents longer than 12 cm. Conclusions Although the primary patency rate associated with the EverFlex stent is comparable to those in published data, the present results demonstrate a higher percentage of in-stent stenoses in patients in whom longer SFA stents were implanted. 
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