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https://www.readbyqxmd.com/read/28705338/-femoropopliteal-angioplasty-short-and-mid-term-results
#1
M Ben Hammamia, M Ben Mrad, B Derbel, R Miri, J Ziadi, F Ghedira, R Denguir, T Kalfat
BACKGROUND: Percutaneous endovascular therapy is becoming a primary option for managing femoropopliteal occlusive disease. The purpose of this study was to evaluate the mid-term results of endovascular treatment of femoropopliteal arterial disease. METHODS: Femoropopliteal percutaneous transluminal angioplasty was performed on 162 consecutive limbs (160 patients) from January 2006 to January 2016. RESULTS: In our study, 87.6% of patients had critical limb ischemia...
July 2017: J Med Vasc
https://www.readbyqxmd.com/read/28697693/pivotal-study-of-a-next-generation-balloon-expandable-stent-graft-for-treatment-of-iliac-occlusive-disease
#2
Jean Bismuth, Bruce H Gray, Andrew Holden, Christopher Metzger, Jean Panneton
PURPOSE: To evaluate the safety and efficacy of a next-generation balloon-expandable stent-graft for the treatment of arterial occlusive disease in patients with de novo or restenotic lesions in the common and/or external iliac arteries. METHODS: A prospective, multicenter, single-arm safety and efficacy study ( ClinicalTrials.gov identifier: NCT02080871) of the VBX Stent Graft for treatment of de novo or restenotic lesions in the iliac arteries was conducted under an Investigational Device Exemption at 26 US sites and 1 New Zealand center...
July 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28648656/endovascular-reconstruction-for-chronic-infrarenal-aortoiliac-occlusive-disease
#3
Russell J Pepe, Priya Patel, Lauren A Huntress, Naiem Nassiri
According to the 2007 TransAtlantic Inter-Society Consensus (TASC II) guidelines, surgery is the preferred treatment for extensive (TASC II type C and D) aortoiliac occlusive disease (AIOD). Recent studies, however, have shown that endovascular management can be an effective first-line treatment option for TASC II type C & D categories. While endovascular therapy is now commonly performed in patients with TASC II type D lesions, very few studies have investigated the feasibility and effectiveness of extending endovascular therapy to the most severe subcategory of TASC II D lesions, chronic infrarenal aortoiliac occlusion (CIAO)...
June 22, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28630267/a-structured-review-of-antithrombotic-therapy-in-peripheral-artery-disease-with-a-focus-on-revascularization-a-tasc-intersociety-consensus-for-the-management-of-peripheral-artery-disease-initiative
#4
REVIEW
Connie N Hess, Lars Norgren, Gary M Ansel, Warren H Capell, John P Fletcher, F Gerry R Fowkes, Anders Gottsäter, Kerry Hitos, Michael R Jaff, Joakim Nordanstig, William R Hiatt
Peripheral artery disease affects >200 million people worldwide and is associated with significant limb and cardiovascular morbidity and mortality. Limb revascularization is recommended to improve function and quality of life for symptomatic patients with peripheral artery disease with intermittent claudication who have not responded to medical treatment. For patients with critical limb ischemia, the goals of revascularization are to relieve pain, help wound healing, and prevent limb loss. The baseline risk of cardiovascular and limb-related events demonstrated among patients with stable peripheral artery disease is elevated after revascularization and related to atherothrombosis and restenosis...
June 20, 2017: Circulation
https://www.readbyqxmd.com/read/28597743/one-year-results-of-primary-stenting-for-tasc-ii-d-lesions-of-the-superficial-femoral-and-popliteal-arteries
#5
Mehmet Ali Astarcıoglu, Celal Kılıt, Taner Sen, Halil Ibrahim Durmus, Macit Kalcık, Mustafa Ozan Gursoy, Mahmut Yesın, Lale Dinc Asarcıklı, Gokhan Gozubuyuk, Basri Amasyalı
Objective This study aimed to evaluate the safety and the efficacy of primary stenting to treat Trans-Atlantic Inter-Society Consensus II (TASC) D femoropopliteal lesions. Background Advances in wire, balloon and stent design have been reported to improve the durability of stenting of longer femoropopliteal lesions. Methods A total of 57 limbs of 53 patients with Rutherford stage 3 to 6 due to TASC D femoropopliteal lesions were treated with a self-expanding nitinol stent in a prospective, single-centre, observational study...
February 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/28574054/-first-experience-with-total-laparoscopic-reconstructive-operations-in-occlusive-lesion-of-the-aortoiliac-arterial-segment
#6
P V Mozgovoĭ, E G Spiridonov, V V Mandrikov, A A Lukovskova, D V Moiseev, P A Pirozhenko, V S Ufimtsev, A I Korotkova, A V Isaev, F N Zharkin
According to the TASC II and the Russian National Guidelines on management of patients with lower limb arterial diseases, in patients with type C and D lesions of the arterial bed performing aortofemoral bifurcation bypass grafting is preferable. Laparoscopic technique makes it possible to combine advantages of minimally invasive surgery with well-known remote results of open reconstructive operations on the aortoiliac segment. The study included a total of 54 patients undergoing treatment at the Cardiosurgical Department of Clinic No 1 of the Volgograd State Medical University over the period from January 2012 to September 2015...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/28548472/begraft-peripheral-pmcf-study-12-month-results
#7
Koen Deloose, Marc Bosiers, Joren Callaert, Patrick Peeters, Jurgen Verbist, Wouter van den Eynde, Lieven Maene, Roel Beelen, Koen Keirse
BACKGROUND: The Begraft Peripheral PMCF study is a prospective, non-randomized study, conducted at the vascular departments of 4 hospitals in Belgium. This manuscript reports the findings up to 12-month follow-up time for the total cohort. The primary endpoint of the study is primary patency at 12 months. Primary patency is defined as a target lesion without a hemodynamically significant stenosis on duplex ultrasound (>50%, systolic velocity ratio no greater than 2.4) and without Target Lesion Revascularization (TLR) within 12 months...
May 26, 2017: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/28530484/in%C3%A2-vivo-geometry-of-the-kissing-stent-and-covered-endovascular-reconstruction-of-the-aortic-bifurcation-configurations-in-aortoiliac-occlusive-disease
#8
Erik Groot Jebbink, Thijs G Ter Mors, Cornelis H Slump, Robert H Geelkerken, Suzanne Holewijn, Michel Mpj Reijnen
Objectives Various configurations of kissing stent (KS) configurations exist and patency rates vary. In response the covered endovascular reconstruction of the aortic bifurcation configuration was designed to minimize mismatch and improve outcome. The aim of the current study is to compare geometrical mismatch of kissing stent with the covered endovascular reconstruction of the aortic bifurcation configuration in vivo. Methods Post-operative computed tomographic data and patient demographics from 11 covered endovascular reconstruction of the aortic bifurcation and 11 matched kissing stent patients were included...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28487112/outcomes-of-self-expanding-ptfe-covered-stent-versus-bare-metal-stent-for-chronic-iliac-artery-occlusion-in-matched-cohorts-using-propensity-score-modelling
#9
M Piazza, F Squizzato, A Dall'Antonia, S Lepidi, M Menegolo, F Grego, M Antonello
OBJECTIVES: The aim was to compare outcomes of self expanding PTFE covered stents (CSs) with bare metal stents (BMSs) in the treatment of iliac artery occlusions (IAOs). METHODS: Between January 2009 and December 2015, 128 iliac arteries were stented for IAO. A CS was implanted in 78 iliac arteries (61%) and a BMS in 50 (49%). After propensity score matching, 94 limbs were selected and underwent stenting (47 for each group). Thirty day outcomes and midterm patency were compared; follow-up results were analysed with Kaplan-Meier curves...
May 6, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28479467/the-natural-history-and-outcomes-of-endovascular-therapy-for-claudication
#10
Julia T Saraidaridis, Emel A Ergul, W Darrin Clouse, Virendra I Patel, Richard P Cambria, Mark F Conrad
BACKGROUND: The natural history of claudication is well-characterized and traditional therapy includes risk factor modification and exercise protocols with revascularization reserved for patients who are severely impaired. However, the reduced periprocedural morbidity with endovascular therapy has led physicians to broaden the indications for intervention for peripheral artery disease, and more claudicants are undergoing procedures for disease that is moderately limiting to their lifestyle...
May 4, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28479421/outcomes-of-isolated-tibial-endovascular-intervention-for-rest-pain-in-patients-on-dialysis
#11
Hallie E Baer-Bositis, Taylor D Hicks, Georges M Haidar, Matthew J Sideman, Lori L Pounds, Mark G Davies
BACKGROUND: Tibial interventions for critical limb ischemia are frequent in patients with end-stage renal disease (ESRD) presenting with critical ischemia. The aim of this study was to examine impact of ESRD on the patient-centered outcomes following tibial endovascular Intervention for rest pain. METHODS: A database of patients undergoing lower extremity endovascular interventions between 2006 and 2016 was retrospectively queried. Patients with rest pain (Rutherford 4) were identified...
May 4, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28478992/complex-endovascular-repair-of-bilateral-iliac-artery-stenosis-and-coexisting-aneurysm
#12
Sameer Arora, Amol A Bahekar
Concomitant stenosis and aneurysmal disease in the iliac artery lumen are a rare finding. Surgery has been the modality of choice for this degree of complexity; however, advancement in techniques, evolution of stent grafts and increasing operator experience have made endovascular intervention a feasible option. TransAtlantic InterSociety Classification (TASC) categorizes the presence of iliac stenosis adjacent to iliac aneurysm as the most severe category for aortoiliac lesions or a TASC II D lesion. The 2014 Society of Cardiovascular Angiography and Interventions (SCAI) expert consensus statement advocated endovascular approach for TASC II A, B and C lesions with a trend to favor endovascular approach for TASC II D lesions as well...
April 24, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28471154/stent-based-revascularization-for-complex-lesions-in-pad
#13
REVIEW
Jason d'SOUZA, Jay Giri, Taisei Kobayashi
Peripheral artery disease (PAD) burdens a significant number of adult Americans and is associated with significant morbidity and mortality. The Transatlantic Inter-Society Consensus II (TASC II) guidelines standardize the degree of disease burden in individual vessel segments by assigning grades correlating to the complexity of lesion intervention. We sought data regarding endovascular approaches to lower extremity PAD in TASC C/D lesions in patients with claudication. Published data in these patients have demonstrated success in terms of procedural success, quality of life metrics, and intermediate to long-term primary patency rates...
October 2017: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/28451834/penetration-rate-of-the-placement-of-a-drug-eluting-stent-for-the-treatment-of-superficial-femoral-artery-lesions-in-japan
#14
Shinsuke Mori, Keisuke Hirano, Yasutaka Yamauchi, Eijiro Hayashi, Tatsuki Doijiri, Takeshi Takamura, Atsuo Maeda, Jun Okuda, Koichi Mizuno, Yuko Onishi, Taku Iwaki, Kengo Tsukahara, Norihiko Shinozaki, Hiroshi Araki, Ken Kongoji, Teruyasu Sugano, Akira Miyamoto, Ichiro Michishita
Stent placement for treating superficial femoral artery (SFA) lesions has been approved. The Zilver PTX stent, a drug-eluting stent (DES) for treating SFA lesions, has been available in Japan since 2012. However, the penetration rate of this DES has not yet been reported. This prospective multicenter registry study enrolled 314 patients (354 limbs) to be treated by stent placement in 2014 (UMIN000011551). The primary endpoint was the measurement of the penetration rate of the DES. The secondary endpoints were measuring the freedom from restenosis, freedom from target lesion revascularization (TLR), freedom from major adverse limb event (MALE), and the survival rate at 12 months postoperatively...
April 27, 2017: Heart and Vessels
https://www.readbyqxmd.com/read/28436316/first-in-man-experience-of-self-expanding-nitinol-stents-combined-with-drug-coated-balloon-in-the-treatment-of-femoropopliteal-occlusive-disease
#15
Bibombe Patrice Mwipatayi, Kalpa Perera, Ali Daneshmand, Rhys Daniel, Jackie Wong, Shannon D Thomas, Sally A Burrows
Purpose The present study aimed to determine the safety and efficacy of a drug-coated balloon inflated within a thin-strut self-expanding bare-metal stent in patients with severe and complex femoropopliteal occlusive disease. Methods This prospective study used the Pulsar-self-expanding stent and Passeo-18 Lux drug-coated balloon in patients with severe and complex femoropopliteal occlusive disease. The primary endpoint was the 12-month primary patency, and the secondary endpoints included 24-month primary patency, assisted primary patency, secondary patency, and clinically associated target lesion revascularisation...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28421855/midterm-outcomes-after-infrapopliteal-interventions-in-patients-with-critical-limb-ischemia-based-on-the-tasc-ii-classification-of-below-the-knee-arteries
#16
Gagan D Singh, Ellen K Brinza, Justin Hildebrand, Stephen W Waldo, T Raymond Foley, John R Laird, Ehrin J Armstrong
PURPOSE: To analyze the relationship between the new TransAtlantic Inter-Society Consensus (TASC II) infrapopliteal classification and limb outcomes among patients with critical limb ischemia (CLI). METHODS: A single-center retrospective study was performed on 166 consecutive CLI patients (mean age 71 years; 113 men) undergoing endovascular treatment of 244 infrapopliteal lesions from 2006 to 2013. Patient, procedural, angiographic, and limb outcomes were compared for the new TASC A/B vs C/D classification for infrapopliteal lesions...
April 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28390920/systematic-review-of-results-of-kissing-stents-in-the-treatment-of-aortoiliac-occlusive-disease
#17
REVIEW
Erik Groot Jebbink, Suzanne Holewijn, Cornelis H Slump, Jan-Willem Lardenoije, Michel M P J Reijnen
BACKGROUND: Endovascular treatment of aortoiliac occlusive disease (AIOD) involving the aortic bifurcation is challenging. The gold standard is open surgery with patency rates up to 90% at 5 years, but has considerable morbidity and mortality. The kissing stent (KS) technique was introduced as an alternative. The goal of this review is to give an overview of the current results and role of the KS technique in AIOD treatment. METHODS: The Cochrane guidelines were used to assure a systematic method...
April 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28378609/antegrade-vs-crossover-femoral-artery-access-in-the-endovascular-treatment-of-isolated-below-the-knee-lesions-in-patients-with-critical-limb-ischemia
#18
Yukun Li, Ali Esmail, Konstantinos P Donas, Georgios Pitoulias, Giovanni Torsello, Theodosios Bisdas, Stefano Michelagnoli, Nicola Troisi
PURPOSE: To evaluate the safety and effectiveness of antegrade vs crossover femoral artery access in the endovascular treatment of isolated below-the-knee (BTK) lesions in patients with critical limb ischemia (CLI). METHODS: Between January 2014 and December 2015, 224 high-risk patients (mean age 75.8±9.8 years; 151 men) with CLI underwent infragenicular interventions on 292 crural vessels in 3 European vascular centers. All patients had isolated TransAtlantic Inter-Society Consensus (TASC) C (n=26) or D (n=198) BTK lesions...
April 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28367968/the-fate-of-patients-with-intermittent-claudication-in-the-21st-century-revisited-results-from-the-cavasic-study
#19
Barbara Rantner, Barbara Kollerits, Johannes Pohlhammer, Marietta Stadler, Claudia Lamina, Slobodan Peric, Peter Klein-Weigel, Hannes Mühlthaler, Gustav Fraedrich, Florian Kronenberg
Patients with intermittent claudication carry a high risk for cardiovascular complications. The TransAtlantic Inter-Society Consensus (TASC) Group estimated a five-year overall mortality of 30% for these patients, the majority dying from cardiovascular causes. We investigated whether this evaluation is still applicable in nowadays patients. We therefore prospectively followed 255 male patients with intermittent claudication from the CAVASIC Study during 7 years for overall mortality, vascular morbidity and mortality and local PAD outcomes...
April 3, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28365130/predictors-of-growth-kinetics-and-outcomes-in-small-renal-masses-srm-%C3%A2-4%C3%A2-cm-in-size-tayside-active-surveillance-cohort-tasc-study
#20
C Paterson, C Yew-Fung, C Sweeney, M Szewczyk-Bieda, S Lang, G Nabi
OBJECTIVE: To determine outcomes of small renal masses (≤4 cm) on active surveillance and explore factors which can influence their growth. PATIENTS AND METHODS: Two hundred twenty six patients between January 2007 and December 2014 were analysed using cross-linked methodology of healthcare data and independent review. Cancer specific and non-specific survival were the primary outcomes. Growth kinetics, factors influencing growth and need for interventions were secondary outcomes...
March 16, 2017: European Journal of Surgical Oncology
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