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Published in: CardioVascular and Interventional Radiology 2/2010

01-04-2010 | Letter to the Editor

Primary Stent in Occluded Femoropopliteal Bypass Graft in a Patient with Contraindications for Thrombolytic Therapy: Case Report

Authors: M. Rabellino, L. García-Nielsen, G. Gonzalez, S. Baldi, T. Zander, I. Zerolo, M. Maynar

Published in: CardioVascular and Interventional Radiology | Issue 2/2010

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Excerpt

Endovascular or surgical treatment of femoropopliteal bypass (FPB) graft occlusion is a safe and effective procedure. However, there are some reports that recommend thrombolysis as an initial therapy [1, 2]. In situ thrombolysis (ITL), with later percutaneous transluminal angioplasty (PTA) of any anastomotic stenoses, is the usual endovascular therapy for this condition [1, 2]. On the other hand, there are cases where ITL, as well as primary stenting, may be contraindicated because of the relative risk of distal embolization [3]. …
Literature
1.
go back to reference Comerota AJ, Weaver FA, Hosking JD, Froehlich J, Folander H, Sussman B, Rosenfield K (1996) Results of a prospective, randomized trial of surgery versus thrombolysis for occluded lower extremity bypass grafts. Am J Surg 172:105–112CrossRefPubMed Comerota AJ, Weaver FA, Hosking JD, Froehlich J, Folander H, Sussman B, Rosenfield K (1996) Results of a prospective, randomized trial of surgery versus thrombolysis for occluded lower extremity bypass grafts. Am J Surg 172:105–112CrossRefPubMed
2.
go back to reference Weaver FA, Toms C (1997) The practical implications of recent trials comparing thrombolytic therapy with surgery for lower extremity ischemia. Semin Vasc Surg 10(1):49–54PubMed Weaver FA, Toms C (1997) The practical implications of recent trials comparing thrombolytic therapy with surgery for lower extremity ischemia. Semin Vasc Surg 10(1):49–54PubMed
3.
go back to reference Raja J, Munneke G, Morgan R, Belli AM (2008) Stenting in acute lower limb arterial occlusions. Cardiovasc Interv Radiol 31(suppl 2):S41–S44CrossRef Raja J, Munneke G, Morgan R, Belli AM (2008) Stenting in acute lower limb arterial occlusions. Cardiovasc Interv Radiol 31(suppl 2):S41–S44CrossRef
4.
go back to reference Rabellino M, Zander T, Baldi S, Garcia-Nielsen L, Aragon-Sanchez FJ, Zerolo I, Llorens R, Maynar M (2009) Clinical follow-up in endovascular treatment for TASC C-D lesions in femoro-popliteal segment. Catheter Cardiovasc Interv 73(5):701–705CrossRefPubMed Rabellino M, Zander T, Baldi S, Garcia-Nielsen L, Aragon-Sanchez FJ, Zerolo I, Llorens R, Maynar M (2009) Clinical follow-up in endovascular treatment for TASC C-D lesions in femoro-popliteal segment. Catheter Cardiovasc Interv 73(5):701–705CrossRefPubMed
5.
go back to reference Wholey MH, Maynar MA, Wholey MH, Pulido-Duque JM, Reyes R, Jarmolowski CR, Castaneda WR (1998) Comparison of thrombolytic therapy of lower-extremity acute, subacute, and chronic arterial occlusions. Catheter Cardiovasc Diagn 44(2):159–169CrossRef Wholey MH, Maynar MA, Wholey MH, Pulido-Duque JM, Reyes R, Jarmolowski CR, Castaneda WR (1998) Comparison of thrombolytic therapy of lower-extremity acute, subacute, and chronic arterial occlusions. Catheter Cardiovasc Diagn 44(2):159–169CrossRef
6.
go back to reference Breukink SO, Vrouenraets BC, Davies GA, Voorwinde A, van Dorp TA, Butzelaar RM (2004) Thrombolysis as initial treatment of peripheral native artery and bypass graft occlusions in a general community hospital. Ann Vasc Surg 18:314–320CrossRefPubMed Breukink SO, Vrouenraets BC, Davies GA, Voorwinde A, van Dorp TA, Butzelaar RM (2004) Thrombolysis as initial treatment of peripheral native artery and bypass graft occlusions in a general community hospital. Ann Vasc Surg 18:314–320CrossRefPubMed
7.
go back to reference Reyes R, Maynar M, Lopera J, Ferral H, Gorriz E, Carreira J, Castaneda WR (1997) Treatment of chronic iliac artery occlusions with guide wire recanalization and primary stent placement. J Vasc Interv Radiol 8(6):1049–1055CrossRefPubMed Reyes R, Maynar M, Lopera J, Ferral H, Gorriz E, Carreira J, Castaneda WR (1997) Treatment of chronic iliac artery occlusions with guide wire recanalization and primary stent placement. J Vasc Interv Radiol 8(6):1049–1055CrossRefPubMed
8.
go back to reference Berczi V, Thomas S, Turner D et al (2006) Stent implantation for acute iliac artery occlusions: initial experience. J Vasc Interv Radiol 17:645–649PubMedCrossRef Berczi V, Thomas S, Turner D et al (2006) Stent implantation for acute iliac artery occlusions: initial experience. J Vasc Interv Radiol 17:645–649PubMedCrossRef
9.
go back to reference Yilmaz S, Sindel T, Luleci E (2003) Primary stenting of embolic occlusions in iliac arteries. J Endovasc Ther 10:629–635CrossRefPubMed Yilmaz S, Sindel T, Luleci E (2003) Primary stenting of embolic occlusions in iliac arteries. J Endovasc Ther 10:629–635CrossRefPubMed
10.
go back to reference Schlager O, Dick P, Sabeti S, Amighi J, Mlekusch W, Minar E, Schillinger M (2005) Long-segment SFA stenting-the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther 12:676–684CrossRefPubMed Schlager O, Dick P, Sabeti S, Amighi J, Mlekusch W, Minar E, Schillinger M (2005) Long-segment SFA stenting-the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther 12:676–684CrossRefPubMed
11.
go back to reference Ferreira M, Lanziotti L, Monteiro M, Abuhadba G, Capotorto LF, Nolte L, Fearnot N (2007) Superficial femoral artery recanalization with self-expanding nitinol stents: long-term follow-up results. Eur J Vasc Endovasc Surg 34(6):702–708CrossRefPubMed Ferreira M, Lanziotti L, Monteiro M, Abuhadba G, Capotorto LF, Nolte L, Fearnot N (2007) Superficial femoral artery recanalization with self-expanding nitinol stents: long-term follow-up results. Eur J Vasc Endovasc Surg 34(6):702–708CrossRefPubMed
12.
go back to reference Schlager O, Dick P, Sabeti S, Amighi J, Mlekusch W, Minar E, Schillinger M (2005) Long-segment SFA stenting—the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther 12(6):676–684CrossRefPubMed Schlager O, Dick P, Sabeti S, Amighi J, Mlekusch W, Minar E, Schillinger M (2005) Long-segment SFA stenting—the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther 12(6):676–684CrossRefPubMed
Metadata
Title
Primary Stent in Occluded Femoropopliteal Bypass Graft in a Patient with Contraindications for Thrombolytic Therapy: Case Report
Authors
M. Rabellino
L. García-Nielsen
G. Gonzalez
S. Baldi
T. Zander
I. Zerolo
M. Maynar
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 2/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9656-x

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