Histological Evaluation of a Self-Expanding Stent-Graft 23 Months After Implantation in the Superficial Femoral Artery

2017 ◽  
Vol 24 (5) ◽  
pp. 746-750 ◽  
Author(s):  
Takayuki Ishihara ◽  
Osamu Iida ◽  
Katsumi Inoue ◽  
Masashi Fujita ◽  
Masaharu Masuda ◽  
...  
Keyword(s):  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Giant Cells ◽  
Middle Part ◽  
Histological Evaluation ◽  
Artery Disease ◽  
The Right ◽  
Stent Graft Implantation ◽  
Graft Implantation

Purpose: To report histological examination of a Viabahn stent-graft implanted in the superficial femoral artery (SFA) for nearly 2 years. Case Report: A 78-year-old man with peripheral artery disease was treated successfully with a 6.0×250-mm Viabahn self-expanding stent-graft in the right SFA, relieving his lower limb claudication. The patient died suddenly due to acute myocardial infarction 23 months later. Histological evaluation of the stent-graft implantation site revealed moderate neointimal proliferation at both proximal and distal edges of the device. In the middle part of the stent, significant macrophages and multinucleated foreign body giant cells had accumulated, although the stent was entirely patent. Furthermore, no endothelial cell coverage was found. Conclusion: Judging from these features, it might be necessary to continue dual antiplatelet therapy after stent-graft implantation over the long term to prevent thrombosis and subsequent restenosis or reocclusion.

scholarly journals Rare case of isolated true aneurysm in the superficial femoral artery treated with endovascular intervention: a case report

2020 ◽  
Vol 4 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Seyong Chung ◽  
Ji-Yong Jang ◽  
Do-Kyun Kim
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Extracorporeal Shock Wave Therapy ◽  
Covered Stent ◽  
True Aneurysm ◽  
Extracorporeal Shock Wave ◽  
Covered Stent Graft ◽  
The Right ◽  
Stent Graft Implantation ◽  
Graft Implantation

Abstract Background  Isolated true aneurysms in the superficial femoral artery (SFA) have rarely been reported. Most cases are undiagnosed until rupture or the occurrence of complications. Case summary A 36-year-old woman presented with a palpable, pulsating mass on her right thigh which had increased in size over 2 months. She also had a swollen right leg and mild claudication (Stage II in Rutherford classification). For 2 months, the patient was treated by manual massage, acupuncture, and extracorporeal shock wave therapy in local clinics. Bed-side ultrasonography identified a 3.4-cm sized true aneurysm of the right SFA. There were no other aneurysms in arteries from head to toe. There was no evidence of atherosclerotic risk factors or connective tissue disease. The patient was successfully treated by a covered stent graft implantation without any complications. Discussion Isolated true aneurysm in the SFA is rare and tends to go undiagnosed especially in young women. Ultrasonography is an easy and useful diagnostic tool for differential diagnosis of thigh mass. In this case, endovascular treatment was safely applied for a true aneurysm without rupture.

scholarly journals Serial angioscopic evaluation of self-expanding stent graft implantation in superficial femoral artery

2020 ◽  
Vol 22 (2) ◽  
pp. 59-63
Author(s):  
Motoki Yasunaga ◽  
Kyosuke Yanagawa ◽  
Hitoshi Nakamura ◽  
Yutaka Matsuhiro ◽  
Koji Yasumoto ◽  
...  
Keyword(s):  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Stent Graft Implantation ◽  
Graft Implantation

scholarly journals Sustained drug retention after paclitaxel-coated balloon angioplasty for superficial femoral artery disease: Follow-up intravascular imaging

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090782
Author(s):  
Norihiro Kobayashi ◽  
Keisuke Hirano ◽  
Masahiro Yamawaki ◽  
Motoharu Araki ◽  
Tsuyoshi Sakai ◽  
...  
Keyword(s):  
Frequency Domain ◽  
Femoral Artery ◽  
Balloon Angioplasty ◽  
Superficial Femoral Artery ◽  
Optical Frequency ◽  
Optical Frequency Domain Imaging ◽  
Drug Retention ◽  
Artery Disease ◽  
The Right

A 63 year-old woman with claudication underwent endovascular therapy for diffuse stenosis of the right superficial femoral artery in our hospital. We performed paclitaxel-coated balloon angioplasty using the IN.PACT™ Admiral™ and achieved acceptable results. After 42 days, we performed follow-up optical frequency domain imaging for the right superficial femoral artery lesion treated with paclitaxel-coated balloon and observed several high-intensity regions with attenuation on the lumen surface. Sustained drug availability is a notable characteristic of paclitaxel-coated balloon. To the best of our knowledge, this is the first report on the visualization of sustained drug retention on the lumen surface using follow-up optical frequency domain imaging after paclitaxel-coated balloon angioplasty in a human patient with superficial femoral artery disease.

scholarly journals “Low Echoic Area” around stent after bare and drug-coated stenting or stent graft placement for superficial femoral artery disease

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110145
Author(s):  
Yoshimitsu Soga ◽  
Kenji Ando
Keyword(s):  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Drug Eluting Stent ◽  
Drug Eluting ◽  
Cook Medical ◽  
Artery Disease ◽  
Zilver Ptx ◽  
Cordis Corporation

Restenosis after stent implantation in femoropopliteal lesions is still big issue. However, restenosis has been reduced by the recent new drug-eluting stent “Eluvia” (Boston Scientific, Marlborough, MA, USA). However, it was reported that “low echoic area (LEA)” finding around stent by ultrasound that they called “aneurysmal degeneration,” but no blood flow was identified outside the stent was confirmed after Eluvia implantation. In this report, we describe the similar findings that were observed after other types of stents (S.M.A.R.T. bare-nitinol stent (Cordis Corporation, Hialeah, FL, USA), Zilver PTX drug-coated stent (Cook Medical, Bloomington, IN, USA), and Viabahn stent graft (W. L. Gore & Associates, Newark, Delaware, USA)) for superficial femoral artery disease. These findings did not change to “aneurysmal change” during the follow-up.

Is There an Alternative to the Surgical Above-Knee Bypass in Treatment of Superficial Femoral Artery Disease? Experiences With Viabahn Stent Graft

2013 ◽  
Vol 47 (7) ◽  
pp. 502-506 ◽  
Author(s):  
A. Fawad Jebran ◽  
Aron F. Popov ◽  
Dieter Zenker ◽  
Christian Bireta ◽  
Martin Friedrich ◽  
...  
Keyword(s):  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Artery Disease

scholarly journals Viabahn stent graft compared with prosthetic surgical above-knee bypass in treatment of superficial femoral artery disease

Medicine ◽  
2018 ◽  
Vol 97 (40) ◽  
pp. e12449
Author(s):  
Narges Waezi ◽  
Shekhar Saha ◽  
Ioannis Bougioukas ◽  
Alexander Emmert ◽  
Bernhard Christoph Danner ◽  
...  
Keyword(s):  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Artery Disease

Percutaneous Stent-Graft Repair of Mycotic Common Femoral Artery Aneurysm

2002 ◽  
Vol 9 (5) ◽  
pp. 690-693 ◽  
Author(s):  
Kihwan Kwon ◽  
Donghoon Choi ◽  
Seung-Hyuk Choi ◽  
Bon Kwon Koo ◽  
Young-Guk Ko ◽  
...  
Keyword(s):  
Stent Graft ◽  
Femoral Artery ◽  
Artery Aneurysm ◽  
Common Femoral Artery ◽  
Graft Patency ◽  
Standard Management ◽  
Mycotic Aneurysms ◽  
Stent Graft Repair ◽  
Stent Graft Implantation ◽  
Graft Implantation

Purpose: To report successful percutaneous repair of a peripheral mycotic aneurysm as a bridge to standard surgical therapy. Case Report: An aneurysm of the left common femoral artery was diagnosed in a 43-year-old man with subacute infective endocarditis. A Jostent stent-graft was percutaneously deployed to exclude the mycotic lesion. Computed tomography at 8 months after the procedure documented aneurysm regression and stent-graft patency without evidence of infection. Arteriography at 18 months has confirmed continued stent-graft patency and the patient remains asymptomatic. Conclusions: The standard management of mycotic aneurysms is usually by surgical resection and repair. However, this case suggests that percutaneous stent-graft implantation may be an option for the treatment of mycotic aneurysms.

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