Vascular Web Logo

SVS  SVS Foundation
A A A
VascularWeb

 PS126. Efficacy of Stent Placement vs. Balloon Angioplasty in Small Vessel of Femoropopliteal Disease

Norihiko Kamioka, Yoshimitsu Soga, Hideaki Aihara, Yusuke Tomoi, Yohei Kobayashi
Kokura Memorial Hospital, Kitakyushu-city, Japan.


OBJECTIVES: The aim of this study was to evaluate the efficacy of stent placement versus balloon angioplasty (BA) in less than 4.5mm diameter femoropopliteal (FP) lesions.

METHODS: This study was a multicenter retrospective analysis. A total of 2,742 consecutive patients (3,471limbs) with FP disease and 196 limbs below 4.5mm diameter femoropopliteal lesions were analyzed in current study; 122 (31.2%) were implanted the self-expanding nitinol stent, 269 (68.8%) were balloon angioplasty alone.

RESULTS: The mean follow-up term were 1.6±1.6 years. The mean reference vessel diameter was 3.8±0.4mm and the mean lesion length was 55.0±33.8mm. There was no significant difference in overall primary patency between BA group (73.9%, 52.2% and 44.5% at 1, 3 and 5 years) and stent group (65.5%, 47.3% and 37.6% at 1, 3 and 5 years; p=0.27), nor was there a significant difference with assisted-primary patency, secondary patency and MACE between in the two groups (p=0.22, 0.99 and 0.18, respectively). The independent predictors of primary patency were female gender, diabetes mellitus, history of cerebrovascular disease and lesion length.

CONCLUSIONS: Implantation of the self-expanding nitinol stent does not improves the primary, assisted-primary and secondary patency and decrease MACE for the femoropopliteal lesions in small vessels compared with balloon angioplasty.

AUTHOR DISCLOSURES: H. Aihara: Nothing to disclose; N. Kamioka: Nothing to disclose; Y. Kobayashi: Nothing to disclose; Y. Soga: Nothing to disclose; Y. Tomoi: Nothing to disclose.

abstract.jpg

There was no significant difference in overall primary patency between BA group and stent group.


Posted April 2013

Contact Us

Society for Vascular Surgery
633 North Saint Clair Street, 22nd Floor | Chicago, IL 60611
Phone: 312-334-2300 | 800-258-7188
Fax: 312-334-2320
Email: vascular@vascularsociety.org

Follow Us

YouTube

VascularWeb® is the prime source for all vascular health and disease information, and is presented by the Society for Vascular Surgery®. Its members are vascular surgeons, specialists, and vascular health professionals who are specialty-trained in all treatments for vascular disease including medical management, non-invasive procedures, and surgery.