Abstract

Objective To evaluate endovascular stenting for TASC TASC Ⅱ C/D femoropopliteal arterial disease. Methods Between January 2008 and June 2011, Endovascular treatments of 51 limbs TASC Ⅱ C/I) femoropopliteal artery occlusions in 46 patients(27 male and 19 female) were retrospectively reviewed. Mean age was (70 ± 8 ) years ( range, 52 years to 88 years). Severe intermittent claudication, rest pain, minor tissue defect and foot ulceration or gangrene were in 29 limbs, 12 limbs,6 limbs and 4 limbs, respectively. Technical success rate, ankle brachial index (ABI), complication rate, and cumulative primary patency rate were evaluated. Results Technical success rate was 90. 2%. 93 stents were placed in 46 limbs of the 42 patients. Postoperative ABI was increased in all patients. 42 patients(46 lower limbs) were followed up for a mean period of 14. 6 months. Primary, assisted-primary, and cumulative patency rates at 6 months were 81.0%, 88. 1% and 90.5%. Primary, assisted-primary, and cumulative patency rates at 12 months were 66. 7% ,71.8% and 79.5% respectively. Conclusions Endovascular treatment of TASC Ⅱ C/D femoropopliteal arterial lesions is microinvasive, safe and effective. Key words: Arteriosclerosis obliterans; Angioplasty, balloon; Stents; Patency rate

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