SUPERA Interwoven Nitinol Stent Outcomes in Above-Knee IntErventions (SAKE) Study

被引:37
作者
George, Jon C. [1 ]
Rosen, Eric S. [1 ]
Nachtigall, Jonathan [1 ]
VanHise, Aaron [1 ]
Kovach, Richard [1 ]
机构
[1] Deborah Heart & Lung Ctr, Div Intervent Cardiol & Endovasc Med, Browns Mills, NJ 08015 USA
关键词
SUPERFICIAL FEMORAL-ARTERY; BALLOON ANGIOPLASTY; PROXIMAL POPLITEAL; LESIONS; TRIAL; IMPLANTATION; DISEASE; ISCHEMIA; REGISTRY;
D O I
10.1016/j.jvir.2014.03.004
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To report experience with the novel interwoven-wire self-expanding nitinol SUPERA stent (IDEV Technologies, Inc/Abbott Laboratories, Inc, Webiter, Texas) for the treatment of severely diseased superficial femoral and popliteal arteries. Materials and Methods: Consecutive patients with severely diseased superficial femoral and popliteal arteries who received SUPERA-stents (n = 80 patients [98 limbs]; mean age, 70.8 y; 80%, Male) were retrospectively identified. Patients-Were followed for an average of 14,3 Months after intervention. Results: Total occlusions were present in 39% Of the lesions, 21% had tissue loss, and 61% demonstrated calcification On fluoroscopy. Patients were prescribed dual antiplatelet therapy (aspirin and cloPidogrel) for, at least 3() days unless contraindicated, followed by aspirin alone indefinitely. The mean (+/- SD) lesion length was 143 mm (+/- 98). Based on need for clinical intervention, primary patency was 96.9% at 6 months and 85.8% at 12 months (Kaplan-Meier estimates). Assisted primary patency and secondary patency rates at 12 months were 96.8% and 100% Ankle brachial increased from 0.60 at baseline to 0.83 at last follow-up (P < .001). No stent fractures were-found by fluoroscopy inspection in 19 limbs (16 patients) that required reintervention. Conclusions: Based on experience with multiple operators at a single clinical Center, the interwoven nitinol stern design provides a viable option for high-grade obstructive disease in the femoropopliteal artery.
引用
收藏
页码:954 / 961
页数:8
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