title: [Stent-assisted recanalization of femoropopliteal arterial occlusive disease. Influence of stent design on patency rates].
abstract: BACKGROUND
  Despite enormous technical progress the results of endovascular treatment of the femoropopliteal vasculature are unsatisfactory and its role is still controversially discussed. In the past decade numerous new stent designs have come onto the market but it is unclear whether they have benefits with respect to patency rates.
  
  
  OBJECTIVE
  Comparison of published data on patency rates and target lesion revascularization rates after use of different stent designs in the femoropopliteal vasculature.
  
  
  METHODS
  Analysis of 25 published studies and registries from 2006 to 2015 for classical open-cell stents, interwoven stents and partially or fully covered stents.
  
  
  CONCLUSIONS
  The published data are heterogeneous and comparative studies for different stent designs are completely missing. Over the past decade the patency rates after femoropopliteal stenting could be improved. According to available data stenting of short lesions < 5 cm does not show any benefit compared to isolated balloon angioplasty. Primary stenting is now recommended for intermediate and longer lesions > 6.4 cm. Due to the heterogeneity of published data a clear benefit for a specific stent design is not obvious; however, data for interwoven stents are promising and show a tendency towards improved patency, at least for certain lesions. Randomized controlled comparative trials are needed to confirm this result.
authors: Institut für Klinische Radiologie, Ludwig-Maximilians-Universität München, Nussbaumstr. 20, 80336, München, Deutschland. mtreitl@med.uni-muenchen.de.
authors: M
authors: M
authors: Treitl
authors: Institut für Klinische Radiologie, Ludwig-Maximilians-Universität München, Nussbaumstr. 20, 80336, München, Deutschland.
authors: M F
authors: MF
authors: Reiser
authors: Institut für Klinische Radiologie, Ludwig-Maximilians-Universität München, Nussbaumstr. 20, 80336, München, Deutschland.
authors: K M
authors: KM
authors: Treitl
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D057510:Endovascular Procedures / Q000706:statistics & numerical data*; D019544:Equipment Failure Analysis; D005263:Femoral Artery / Q000601:surgery*; D006084:Graft Rejection / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D006085:Graft Survival; D006801:Humans; D011150:Popliteal Artery / Q000601:surgery*; D015995:Prevalence; D011474:Prosthesis Design; D012086:Reoperation / Q000706:statistics & numerical data; D012307:Risk Factors; D015607:Stents / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014654:Vascular Patency
keywords: Angioplasty; Femoropopliteal; Peripheral arterial occlusive disease; Stent; Stent design