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ePTFE stent graft in non-steno-occlusive arterial disease: 2 centers retrospective study

  • EMERGENCY RADIOLOGY
  • Published:
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Abstract

Purpose

We report our experience regarding use of Fluency stent graft (Bard, Murray Hill, NJ, USA) for the treatment of peripheral aneurysms, pseudoaneurysms, arteriovenous fistulae, dissections and arterial ruptures, lacerations or perforations.

Methods and materials

This two-center study included 59 patients (40 M, 19 F) with a mean age of 64.37 years (range 20–91 years). In total 61 lesions were treated, so subdivided: 10 true aneurysms, 26 pseudoaneurysms, 5 iatrogenic arteriovenous fistulae, 20 arterial ruptures, lacerations or perforations.

Results

Immediate technical success was obtained in 60 of 61 lesions (98.3 %); in 1 case (pseudoaneurysm of hepatic artery) additional embolization of the gastroduodenal artery with microcoils was needed. Follow-up was available for 57 patients and 59 lesions; mean period was 23.52 months (range 1–60 months). At 1-year primary patency was 89.47 %, whereas secondary patency was 96.4 %.

Conclusion

Endovascular application of Fluency stent graft seems to offer an effective, and durable less invasive alternative to standard surgical techniques for the treatment of peripheral aneurysms, pseudoaneurysms, iatrogenic arteriovenous fistulae and arterial ruptures, or penetrating injuries.

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Authors and Affiliations

  1. Unit of Interventional Radiology, Department of Radiology, University of Insubria, 71110, Heraklion, Crete, Greece

    Anna Maria Ierardi, Filippo Piacentino, Giuseppe De Marchi & Gianpaolo Carrafiello

  2. Unit of Interventional Radiology, Department of Radiology, Faculty of Medicine, University Hospital of Heraklion, University of Crete, 71110, Heraklion, Crete, Greece

    Elias Kehagias & Dimitrios Tsetis

  3. Vascular Surgery Department, University of Insubria, Viale Borri, 57, 21100, Varese, VA, Italy

    Gabriele Piffaretti & Matteo Tozzi

  4. Unit of Vascular Surgery, Faculty of Medicine, University Hospital of Heraklion, University of Crete, Heraklion, Greece

    Christos Ioannou

  5. Department of Radiology, “Luigi Sacco” University Hospital, Via G.B. Grassi 74, 20157, Milan, MI, Italy

    Massimo Tonolini

  6. Department of Diagnostic and Interventional Radiology, San Paolo Hospital, University of Milan, Via A. Di Rudinì 8, 20142, Milan, Italy

    Alberto Magenta Biasina

Authors
  1. Anna Maria Ierardi
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  2. Elias Kehagias
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  3. Gabriele Piffaretti
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  4. Filippo Piacentino
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  5. Giuseppe De Marchi
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  6. Matteo Tozzi
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  7. Christos Ioannou
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  8. Massimo Tonolini
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  9. Alberto Magenta Biasina
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  10. Gianpaolo Carrafiello
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  11. Dimitrios Tsetis
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Corresponding author

Correspondence to Gianpaolo Carrafiello.

Ethics declarations

No funds were used for the present study.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors declare that they have no conflict of interest.

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Ierardi, A.M., Kehagias, E., Piffaretti, G. et al. ePTFE stent graft in non-steno-occlusive arterial disease: 2 centers retrospective study. Radiol med 121, 482–493 (2016). https://doi.org/10.1007/s11547-016-0623-8

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  • DOI: https://doi.org/10.1007/s11547-016-0623-8

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