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Published on: October 26, 2016
ePTFE stent graft in non-steno-occlusive arterial disease: 2 centers retrospective study
Anna Maria Ierardi1, Elias Kehagias2, Gabriele Piffaretti3
1Unit of Interventional Radiology, Department of Radiology, University of Insubria, 71110, Heraklion, Crete, Greece.
Insights
The Fluency stent graft effectively treats various peripheral arterial conditions, including aneurysms and ruptures, with high technical success and durable patency. This less invasive endovascular approach offers a viable alternative to traditional surgery.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Medical Device Technology
Background:
- Peripheral arterial pathologies like aneurysms, pseudoaneurysms, and iatrogenic arteriovenous fistulae pose significant clinical challenges.
- Traditional surgical repair often involves substantial morbidity and longer recovery periods.
Purpose of the Study:
- To evaluate the efficacy and durability of the Fluency stent graft for treating a range of peripheral arterial lesions.
- To assess the Fluency stent graft as a less invasive alternative to open surgical repair.
Main Methods:
- A two-center study involving 59 patients (40 male, 19 female) with a mean age of 64.37 years.
- Treatment of 61 lesions including true aneurysms (10), pseudoaneurysms (26), iatrogenic arteriovenous fistulae (5), and arterial ruptures/lacerations/perforations (20).
Main Results:
- Immediate technical success was achieved in 98.3% (60/61) of lesions, with one case requiring additional embolization.
- At a mean follow-up of 23.52 months, 1-year primary patency was 89.47% and secondary patency was 96.4%.
Conclusions:
- The endovascular application of the Fluency stent graft demonstrates effectiveness and durability for peripheral arterial conditions.
- It presents a less invasive and potentially superior alternative to conventional surgical techniques for these indications.
Purpose:
We report our experience regarding use of Fluency stent graft (Bard, Murray Hill, NJ, USA) for the treatment of peripheral aneurysms, pseudoaneurysms, arteriovenous fistulae, dissections and arterial ruptures, lacerations or perforations.
Methods And Materials:
This two-center study included 59 patients (40 M, 19 F) with a mean age of 64.37 years (range 20-91 years). In total 61 lesions were treated, so subdivided: 10 true aneurysms, 26 pseudoaneurysms, 5 iatrogenic arteriovenous fistulae, 20 arterial ruptures, lacerations or perforations.
Results:
Immediate technical success was obtained in 60 of 61 lesions (98.3 %); in 1 case (pseudoaneurysm of hepatic artery) additional embolization of the gastroduodenal artery with microcoils was needed. Follow-up was available for 57 patients and 59 lesions; mean period was 23.52 months (range 1-60 months). At 1-year primary patency was 89.47 %, whereas secondary patency was 96.4 %.
Conclusion:
Endovascular application of Fluency stent graft seems to offer an effective, and durable less invasive alternative to standard surgical techniques for the treatment of peripheral aneurysms, pseudoaneurysms, iatrogenic arteriovenous fistulae and arterial ruptures, or penetrating injuries.
