Hybrid Procedure Utilizing Stent Grafts to Stabilize Distal Flaps after Common and Superficial Femoral EndarterectomyReportar como inadecuado




Hybrid Procedure Utilizing Stent Grafts to Stabilize Distal Flaps after Common and Superficial Femoral Endarterectomy - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Background: Endarterectomy has longbeen the standard for common femoral artery CFA occlusive disease. Hybridprocedures utilizing endovascular and open techniques have recently been usedfor revascularization. The purpose of this study was to evaluate theeffectiveness of the use of a stent graft to stabilize the distal flap andprevent further dissection after extensive endarterectomy. Methods: Allpatients from Monmouth Medical Center in Long Branch, NJ from September 2008 toMarch 2013 who underwent an extensive common and superficial femoral SFAendarterectomy combined with the use of a Viabahn Gore Medical stent graft tostabilize the distal flap were included in the study. These stents weredeployed in the proximal SFA after extensive endarterectomy, under directvisualization, without the aid of fluoroscopy. Due to the location in the SFA,these flaps were not amenable to suture tacking. Results: Fifteen patients metthese criteria and were included in our study. Twelve patients underwentfemoral endarterectomy for severe claudication and three patients for limbsalvage. Technical success was achieved in all 15 patients. Five patients alsohad stents placed proximally to increase inflow and one patient had anadditional stent placed distally to improve outflow. There were nointraoperative or postoperative complications. Conclusion: Stent graftplacement allows a more extensive endarterectomy to be performed by stabilizingthe distal flap allowing a safe transition into the true lumen that is notpossible with suture tacking.



KEYWORDS

Common Femoral Endarterectomy, Superficial Femoral Endarterectomy, Stent Graft, Distal Flap, Vollmar Ring Dissector, Viabahn Stent

Cite this paper

Pham, D. , Protyniak, B. , Hui, S. , Cappa, R. and Constantinopoulos, G. 2015 Hybrid Procedure Utilizing Stent Grafts to Stabilize Distal Flaps after Common and Superficial Femoral Endarterectomy. Surgical Science, 6, 109-115. doi: 10.4236-ss.2015.63017.





Autor: David V. Pham1, Bogdan Protyniak1, Samuel Hui1, Ryan N. Cappa2, George Constantinopoulos1

Fuente: http://www.scirp.org/



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