Balloon angioplasty versus stenting of sequential tandem lesions in superficial femoral and popliteal arteries

Shaker, Ahmed A.; Rahim, Amr Abdel; El Kashef, Omar A.; Gad, Amr A.

doi:10.4103/1110-1121.176819

Balloon angioplasty versus stenting of sequential tandem lesions in superficial femoral and popliteal arteries

Authors

Abstract

Objective:
To compare Efficacy and durability immediately, after one, 6 months results of balloon angioplasty alone versus balloon angioplasty and stenting of multiple tandem lesions in superficial femoral artery (SFA).
Methods:
percutaneous transluminal angioplasty (PTA) with dilatation was done for 20 cases (group I) and PTA and stenting was done for 20 cases (group II) with (stenosis or occlusion).
Results:
On stratifying our cases according to TASC II classification, cases showed that in group I: 11(55%), 9 (45%) TASC B and C respectively, group II: 9 (45%), 11(55%) TASC B and were C lesions of the SFA. At one month, six month follow up, group I: 3occluded cases, no more occluded cases while in group II: all cases were successful, 9 cases occluded respectively.
Conclusion:
Although primary stenting of SFA provide excellent results in patients with TASC B& C lesions (short term). It doesn't provide Superior (Mid-term) to results to angioplasty alone. (Leave no Metal behind Policy).

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