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Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers

The present study aimed to investigate the technical feasibility and initial clinical outcomes of a covered stent for the endovascular treatment of superficial femoral artery (SFA) pseudoaneurysm in drug abusers. A total of 29 drug abuse patients with SFA pseudoaneurysm, as confirmed by color Dopple...

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Autores principales: Xu, Jian, Zheng, Zhao, Yang, Yong, Zhang, Wei, Zhao, Hongliang, E, Bei, Zheng, Minwen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802221/
https://www.ncbi.nlm.nih.gov/pubmed/29344667
http://dx.doi.org/10.3892/mmr.2018.8431
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author Xu, Jian
Zheng, Zhao
Yang, Yong
Zhang, Wei
Zhao, Hongliang
E, Bei
Zheng, Minwen
author_facet Xu, Jian
Zheng, Zhao
Yang, Yong
Zhang, Wei
Zhao, Hongliang
E, Bei
Zheng, Minwen
author_sort Xu, Jian
collection PubMed
description The present study aimed to investigate the technical feasibility and initial clinical outcomes of a covered stent for the endovascular treatment of superficial femoral artery (SFA) pseudoaneurysm in drug abusers. A total of 29 drug abuse patients with SFA pseudoaneurysm, as confirmed by color Doppler sonography, were enrolled to the present study between January 2012 and May 2014. All patients were treated percutaneously by implantation of a covered stent. Physical examination and lower extremity computed tomography angiography were performed at 1 and 9 months postoperation. Furthermore, the ankle-brachial index (ABI) of all patients was measured. The results indicated that placement of the covered stent was technically successful in all 29 patients. All of the ruptured pseudoaneurysms were successfully sealed with no cases of intraprocedural mortality. In addition, all patients' conditions improved rapidly; active hemorrhage subsidence and vascular bruit disappearance were immediately detected following implantation of the covered stent. During the follow-up period, pain was markedly alleviated and pulsatile mass was decreased as time increased. No complaints or complications were documented. A total of 9 months postoperation, pain and pulsatile mass were not detected. The patency rate of the stent was 100%, and no migration, occlusion or infection was detected. In addition, the ABI was significantly improved, from 0.52±0.09 to 0.97±0.37 (P<0.01). In conclusion, the placement of a covered stent may be considered a promising approach to provide an effective, safe and minimally invasive option for the treatment of SFA pseudoaneurysm in drug abusers.
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spelling pubmed-58022212018-02-26 Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers Xu, Jian Zheng, Zhao Yang, Yong Zhang, Wei Zhao, Hongliang E, Bei Zheng, Minwen Mol Med Rep Articles The present study aimed to investigate the technical feasibility and initial clinical outcomes of a covered stent for the endovascular treatment of superficial femoral artery (SFA) pseudoaneurysm in drug abusers. A total of 29 drug abuse patients with SFA pseudoaneurysm, as confirmed by color Doppler sonography, were enrolled to the present study between January 2012 and May 2014. All patients were treated percutaneously by implantation of a covered stent. Physical examination and lower extremity computed tomography angiography were performed at 1 and 9 months postoperation. Furthermore, the ankle-brachial index (ABI) of all patients was measured. The results indicated that placement of the covered stent was technically successful in all 29 patients. All of the ruptured pseudoaneurysms were successfully sealed with no cases of intraprocedural mortality. In addition, all patients' conditions improved rapidly; active hemorrhage subsidence and vascular bruit disappearance were immediately detected following implantation of the covered stent. During the follow-up period, pain was markedly alleviated and pulsatile mass was decreased as time increased. No complaints or complications were documented. A total of 9 months postoperation, pain and pulsatile mass were not detected. The patency rate of the stent was 100%, and no migration, occlusion or infection was detected. In addition, the ABI was significantly improved, from 0.52±0.09 to 0.97±0.37 (P<0.01). In conclusion, the placement of a covered stent may be considered a promising approach to provide an effective, safe and minimally invasive option for the treatment of SFA pseudoaneurysm in drug abusers. D.A. Spandidos 2018-03 2018-01-15 /pmc/articles/PMC5802221/ /pubmed/29344667 http://dx.doi.org/10.3892/mmr.2018.8431 Text en Copyright: © Xu et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Xu, Jian
Zheng, Zhao
Yang, Yong
Zhang, Wei
Zhao, Hongliang
E, Bei
Zheng, Minwen
Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
title Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
title_full Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
title_fullStr Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
title_full_unstemmed Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
title_short Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
title_sort clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802221/
https://www.ncbi.nlm.nih.gov/pubmed/29344667
http://dx.doi.org/10.3892/mmr.2018.8431
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