治疗有症状的腘动脉病变:戈尔® TIGRIS® 血管支架的讣告。

Thomas Betz, Karin Pfister, Wilma Schierling, Georgios Sachsamanis, Jörn Radunski, Claus Nolte Ernsting, Alexander Stehr
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引用次数: 0

摘要

背景:腘动脉高度暴露于生物力学应力,这是导致支架失效的主要因素。然而,有关腘动脉最佳血管内治疗方法的信息尚缺:报告 GORE® TIGRIS® 血管支架用于腘动脉病变血管内治疗的疗效:方法:对2012年8月至2014年8月期间在一家三级血管中心接受GORE® TIGRIS® 血管支架植入手术的所有有外周动脉闭塞性疾病(PAD)症状和腘动脉病变的患者进行回顾性分析:2012年8月至2014年8月期间,48名患者(32名男性,年龄为75±8岁)接受了GORE® TIGRIS®血管支架治疗。技术成功率为 100%。12 个月时,一次和二次通畅率分别为 74% 和 85%。随访期间,未发现支架断裂。结论:我们的研究表明,有症状的 PAD 患者的孤立性腘动脉病变可以通过 GORE® TIGRIS® 血管支架轻松治疗,12 个月后可获得良好的短期效果。因此,该产品的停产使血管专科医生的血管内治疗手段中失去了一种释放机制简单的有用工具。
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Treatment of symptomatic popliteal artery lesions: An obituary of the GORE® TIGRIS® vascular stent.

Background: The popliteal artery is highly exposed to biomechanical stress, which is the primary factor associated with stent failure. However, information on the optimal endovascular treatment for the popliteal artery is lacking.

Objective: To report the efficacy of the GORE® TIGRIS® Vascular Stent for the endovascular treatment of popliteal artery lesions.

Methods: Retrospective analysis of all patients with symptoms of peripheral artery occlusive disease (PAD) and popliteal artery lesions who underwent implantation of a GORE® TIGRIS® Vascular Stent between August 2012 and August 2014 at a tertiary vascular centre.

Results: Between August 2012 and August 2014, 48 patients (32 men, aged 75±8 years) were treated with a GORE® TIGRIS® Vascular Stent. The technical success rate was 100%. At 12 months, the primary and secondary patency rates were 74% and 85%, respectively. During follow-up, no stent fracture was observed. No major amputations were performed.

Conclusions: Our study showed that isolated popliteal artery lesions in patients with symptomatic PAD could easily be treated with the GORE® TIGRIS® Vascular Stent, as good short-term results were achieved at 12 months. Therefore, the discontinuation of this product removed a useful tool with a simple release mechanism from the endovascular armamentarium of vascular specialists.

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