Self-expanding nitinol stents in recanalisation of long-length superficial femoral artery occlusions in patients with critical limb ischaemia

Manish Taneja, K. H. Tay, M. Sebastian, S. Pasupathy, S. E. Lin, T. Teo, Reginald Low, F. G. Irani, S. P. Chng, A. Dewan, B. S. Tan

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction: This study aims to evaluate our experience with self-expanding nitinol stentenabled recanalisation of long-length occlusions (30 cm or more) of the superficial femoral artery (SFA). Methods: 573 patients underwent 842 lower limb interventions from August 2006 to December 2008. A retrospective review of patients undergoing recanalisation of long-length SFA occlusions with self-expanding nitinol stents and an evaluation of their patency and impact on limb salvage, were done. Results: 22 patients (mean age 62.5 years, male: female ratio 11:11) underwent 22 long-length SFA stenting procedures. The spectrum of critical limb ischaemia included rest pain (five), ulcer (six) and gangrene (11). Length of occlusions varied from 30 cm to 45 cm (average length 36.4 cm). Five patients had stents placed through the ipsilateral popliteal artery approach, and the rest had stents placed through the femoral artery approach. All patients were followed up over an average duration of 12 months. One patient died due to associated medical conditions during this period. Six out of 21 (28.6 percent) of the stents thrombosed completely on one year follow-up. Of these, two patients underwent amputation, one patient had a bypass, and the stent in two patients were recanalised with balloon angioplasty. All remaining patent stents showed varying degrees of stenoses at one year. The overall limb salvage rate at one year following stent placement was 81 percent. Conclusion: Our experience showed the beneficial result of long-length SFA stent placement with good limb salvage outcome. Repeat interventions may be required to maintain the patency of stents in these patients.

Original languageEnglish (US)
Pages (from-to)1184-1188
Number of pages5
JournalSingapore Medical Journal
Volume50
Issue number12
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Femoral Artery
Stents
Ischemia
Extremities
Limb Salvage
nitinol
Popliteal Artery
Gangrene
Balloon Angioplasty
Amputation
Ulcer
Lower Extremity
Pathologic Constriction
Thrombosis
Pain

Keywords

  • Critical limb ischaemia
  • Long-length superficial femoral artery occlusions
  • Self-expanding nitinol stents

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Taneja, M., Tay, K. H., Sebastian, M., Pasupathy, S., Lin, S. E., Teo, T., ... Tan, B. S. (2009). Self-expanding nitinol stents in recanalisation of long-length superficial femoral artery occlusions in patients with critical limb ischaemia. Singapore Medical Journal, 50(12), 1184-1188.

Self-expanding nitinol stents in recanalisation of long-length superficial femoral artery occlusions in patients with critical limb ischaemia. / Taneja, Manish; Tay, K. H.; Sebastian, M.; Pasupathy, S.; Lin, S. E.; Teo, T.; Low, Reginald; Irani, F. G.; Chng, S. P.; Dewan, A.; Tan, B. S.

In: Singapore Medical Journal, Vol. 50, No. 12, 12.2009, p. 1184-1188.

Research output: Contribution to journalArticle

Taneja, M, Tay, KH, Sebastian, M, Pasupathy, S, Lin, SE, Teo, T, Low, R, Irani, FG, Chng, SP, Dewan, A & Tan, BS 2009, 'Self-expanding nitinol stents in recanalisation of long-length superficial femoral artery occlusions in patients with critical limb ischaemia', Singapore Medical Journal, vol. 50, no. 12, pp. 1184-1188.
Taneja, Manish ; Tay, K. H. ; Sebastian, M. ; Pasupathy, S. ; Lin, S. E. ; Teo, T. ; Low, Reginald ; Irani, F. G. ; Chng, S. P. ; Dewan, A. ; Tan, B. S. / Self-expanding nitinol stents in recanalisation of long-length superficial femoral artery occlusions in patients with critical limb ischaemia. In: Singapore Medical Journal. 2009 ; Vol. 50, No. 12. pp. 1184-1188.
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abstract = "Introduction: This study aims to evaluate our experience with self-expanding nitinol stentenabled recanalisation of long-length occlusions (30 cm or more) of the superficial femoral artery (SFA). Methods: 573 patients underwent 842 lower limb interventions from August 2006 to December 2008. A retrospective review of patients undergoing recanalisation of long-length SFA occlusions with self-expanding nitinol stents and an evaluation of their patency and impact on limb salvage, were done. Results: 22 patients (mean age 62.5 years, male: female ratio 11:11) underwent 22 long-length SFA stenting procedures. The spectrum of critical limb ischaemia included rest pain (five), ulcer (six) and gangrene (11). Length of occlusions varied from 30 cm to 45 cm (average length 36.4 cm). Five patients had stents placed through the ipsilateral popliteal artery approach, and the rest had stents placed through the femoral artery approach. All patients were followed up over an average duration of 12 months. One patient died due to associated medical conditions during this period. Six out of 21 (28.6 percent) of the stents thrombosed completely on one year follow-up. Of these, two patients underwent amputation, one patient had a bypass, and the stent in two patients were recanalised with balloon angioplasty. All remaining patent stents showed varying degrees of stenoses at one year. The overall limb salvage rate at one year following stent placement was 81 percent. Conclusion: Our experience showed the beneficial result of long-length SFA stent placement with good limb salvage outcome. Repeat interventions may be required to maintain the patency of stents in these patients.",
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AU - Tay, K. H.

AU - Sebastian, M.

AU - Pasupathy, S.

AU - Lin, S. E.

AU - Teo, T.

AU - Low, Reginald

AU - Irani, F. G.

AU - Chng, S. P.

AU - Dewan, A.

AU - Tan, B. S.

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N2 - Introduction: This study aims to evaluate our experience with self-expanding nitinol stentenabled recanalisation of long-length occlusions (30 cm or more) of the superficial femoral artery (SFA). Methods: 573 patients underwent 842 lower limb interventions from August 2006 to December 2008. A retrospective review of patients undergoing recanalisation of long-length SFA occlusions with self-expanding nitinol stents and an evaluation of their patency and impact on limb salvage, were done. Results: 22 patients (mean age 62.5 years, male: female ratio 11:11) underwent 22 long-length SFA stenting procedures. The spectrum of critical limb ischaemia included rest pain (five), ulcer (six) and gangrene (11). Length of occlusions varied from 30 cm to 45 cm (average length 36.4 cm). Five patients had stents placed through the ipsilateral popliteal artery approach, and the rest had stents placed through the femoral artery approach. All patients were followed up over an average duration of 12 months. One patient died due to associated medical conditions during this period. Six out of 21 (28.6 percent) of the stents thrombosed completely on one year follow-up. Of these, two patients underwent amputation, one patient had a bypass, and the stent in two patients were recanalised with balloon angioplasty. All remaining patent stents showed varying degrees of stenoses at one year. The overall limb salvage rate at one year following stent placement was 81 percent. Conclusion: Our experience showed the beneficial result of long-length SFA stent placement with good limb salvage outcome. Repeat interventions may be required to maintain the patency of stents in these patients.

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