[Results of percutaneous implantation of coated vascular prostheses in long-distance femoropopliteal occlusions].
OBJECTIVE
Evaluation of primary patency rate, complications and midterm follow-up after implantation of endoprostheses in femoropopliteal occlusions.


METHODS
25 patients suffering from femoropopliteal occlusion (average length 7 cm) underwent percutaneous femoropopliteal endoprosthesis treatment. A total of 34 endoprostheses were implanted. Clinical and Doppler follow-up was performed after 1, 3, 6 and 9 months. Mean follow-up is 6 months.


RESULTS
Percutaneous placement of endoprostheses was successful primarily in 24/25 patients. In one patient an early occlusion of the endoprosthesis occurred, caused by an embolic complication. Primary patency was 64% after 6 months and secondary patency rate was 71%. Severe local pain at the application site and fever was observed in 40% of the patients.


CONCLUSIONS
The occlusion rate of 36% after 6 months is high. Long-term follow-up must be awaited before a general recommendation can be made. The cause of the local pain and fever in the early postinterventional period remains unclear.
Link
J
J
Klinik für Radiologische Diagnostik, Christian-Albrechts-Universität Kiel.
Müller-Hülsbeck
S
S
Brossmann
J
J
Schwarzenberg
H
H
Heller
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D005334:Fever / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D015641:Radiography, Interventional / Q000379:methods; D012008:Recurrence; D015607:Stents; D014654:Vascular Patency