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Implantation of Human-Sized Coronary Stents into Rat Abdominal Aorta Using a Trans-Femoral Access
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Stenting for abdominal aortic occlusive disease. Long-term results
R Martinez1, J Rodriguez-Lopez, E B Diethrich
1Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute, Phoenix 85006, USA.
Texas Heart Institute Journal
|January 1, 1997
Summary
Abdominal aortic stenting shows excellent long-term patency for atherosclerotic occlusive disease. This endovascular approach for abdominal aortic stenting avoids restenosis and may surpass surgical outcomes.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Therapy
Background:
- Atherosclerotic occlusive disease affects the abdominal aorta, leading to stenosis or occlusion.
- Surgical intervention has been the traditional treatment, but endovascular options are emerging.
Purpose of the Study:
- To evaluate the long-term results of abdominal aortic stenting in patients with atherosclerotic occlusive disease.
- To assess the safety, efficacy, and patency rates of aortic stenting.
Main Methods:
- Retrospective analysis of 24 patients undergoing abdominal aortic stenting for atherosclerotic occlusive disease.
- Palmaz stents were implanted in the aorta and iliac arteries.
- Follow-up included clinical assessment and imaging for a mean of 48 months.
Main Results:
- 100% technical and clinical success rate.
- No in-stent restenosis observed over a 5-year follow-up.
- 100% cumulative primary patency at 5 years.
- Two late complications were successfully managed endovascularly.
Conclusions:
- Abdominal aortic stenting provides excellent long-term patency for atherosclerotic occlusive disease.
- Aortic stents appear to be resistant to restenosis, potentially offering superior outcomes to surgery.
- Further studies with larger cohorts are warranted to confirm these findings.
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