Article ; Online: Is vessel prep necessary before treating the superficial femoral artery?
The Journal of cardiovascular surgery
2019 Volume 60, Issue 5, Page(s) 557–566
Abstract: The standard of care for treating symptomatic peripheral arterial disease has been percutaneous transluminal angioplasty with or without stenting over the last couple of years. This endovascular treatment of claudicants or patients with critical limb ... ...
Abstract | The standard of care for treating symptomatic peripheral arterial disease has been percutaneous transluminal angioplasty with or without stenting over the last couple of years. This endovascular treatment of claudicants or patients with critical limb ischemia has increased in numbers and has even surpassed open surgery. Our daily practice has evolved to an endovascular-first approach, especially in the femoropopliteal region, being the most frequently treated vessel. However, neointimal hyperplasia and elastic recoil leading to target lesion restenosis or occlusion after initial successful treatment is not uncommon. In recent years, drug-eluting technologies on balloons or stents have been investigated as a potential solution for this problem with excellent results compared to plain-old balloon angioplasty. Nonetheless in the majority of those trials, the bailout stenting rate increased with lesion complexity, albeit it in long or heavily calcified lesions due to flow-limiting dissections, elastic recoil or the calcium barrier preventing adequate drug uptake. There is a need for vessel preparation in order to ameliorate drug delivery, especially in complex lesions. Multiple devices are available to prepare even the most challenging lesions for drug uptake or stenting, by achieving maximal luminal gain and by minimizing dissections. This review aims to give an overview of the most common modalities for vessel preparation in the superficial femoral artery beside plain old balloon angioplasty together with an overview of the current literature of each device in the superficial femoral artery. |
---|---|
MeSH term(s) | Angioplasty, Balloon/adverse effects ; Angioplasty, Balloon/instrumentation ; Atherectomy/adverse effects ; Atherectomy/instrumentation ; Cardiovascular Agents/administration & dosage ; Cardiovascular Agents/adverse effects ; Drug-Eluting Stents ; Femoral Artery/diagnostic imaging ; Femoral Artery/physiopathology ; Humans ; Lithotripsy/adverse effects ; Lithotripsy/instrumentation ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/physiopathology ; Peripheral Arterial Disease/therapy ; Prosthesis Design ; Risk Factors ; Treatment Outcome ; Vascular Access Devices ; Vascular Patency |
Chemical Substances | Cardiovascular Agents |
Language | English |
Publishing date | 2019-06-21 |
Publishing country | Italy |
Document type | Journal Article ; Review |
ZDB-ID | 80143-4 |
ISSN | 1827-191X ; 0021-9509 |
ISSN (online) | 1827-191X |
ISSN | 0021-9509 |
DOI | 10.23736/S0021-9509.19.11037-3 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 469: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.