Title :

Lower rate of restenosis and reinterventions with covered vs bare metal stents following innominate artery stenting

Author(s) :

Ammi, Myriam [Auteur]
Centre Hospitalier Universitaire d'Angers [CHU Angers]
Henni, Samir [Auteur]
Centre Hospitalier Universitaire d'Angers [CHU Angers]
Salomon Du Mont, Lucie [Auteur]
Centre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
Settembre, Nicla [Auteur]
Centre Hospitalier Universitaire de Nancy [CHU Nancy]
Loubiere, Helene [Auteur]
Université d'Angers [UA]
Sobocinski, Jonathan [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Goueffic, Yann [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Feugier, Patrick [Auteur]
Université Claude Bernard Lyon 1 [UCBL]
Duprey, Ambroise [Auteur]
Service de Chirurgie Vasculaire [CHU Saint-Etienne]
Martinez, Robert [Auteur]
CHU Trousseau [Tours]
Bartoli, Michel [Auteur]
Assistance Publique - Hôpitaux de Marseille [APHM]
Coscas, Raphael [Auteur]
Hôpital Ambroise Paré [AP-HP]
Chaufour, Xavier [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Kaladji, Adrien [Auteur]
Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
Rosset, Eugenio [Auteur]
CHU Clermont-Ferrand
Abraham, Pierre [Auteur]
Université d'Angers [UA]
Picquet, Jean [Auteur]
Université d'Angers [UA]

Journal title :

Journal of endovascular therapy

Abbreviated title :

J. Endovasc. Ther.

Volume number :

26

Pages :

1526602819838867

Publication date :

2019-04-02

ISSN :

1545-1550

Keyword(s) :

innominate artery
stent
atherosclerosis
balloon-expandable covered stent
stenosis
reintervention
occlusion
restenosis
brachiocephalic artery

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

To determine any difference between bare metal stents (BMS) and balloon-expandable covered stents in the treatment of innominate artery atheromatous lesions. A multicenter retrospective study involving 13 university ...
Show more >To determine any difference between bare metal stents (BMS) and balloon-expandable covered stents in the treatment of innominate artery atheromatous lesions. A multicenter retrospective study involving 13 university hospitals in France collected 93 patients (mean age 63.2±11.1 years; 57 men) treated over a 10-year period. All patients had systolic blood pressure asymmetry >15 mm Hg and were either asymptomatic (39, 42%) or had carotid (20, 22%), vertebrobasilar (24, 26%), and/or brachial (20, 22%) symptoms. Innominate artery stenosis ranged from 50% to 70% in 4 (4%) symptomatic cases and between 70% and 90% in 52 (56%) cases; 28 (30%) lesions were preocclusive and 8 (9%) were occluded. One (1%) severely symptomatic patient had a <50% stenosis. Demographic characteristics, operative indications, and procedure details were compared between the covered (36, 39%) and BMS (57, 61%) groups. Multivariate analysis was performed to determine relative risks of restenosis and reinterventions [reported with 95% confidence intervals (CI)]. The endovascular procedures were performed mainly via retrograde carotid access (75, 81%). Perioperative strokes occurred in 4 (4.3%) patients. During the mean 34.5±31.2-month follow-up, 30 (32%) restenoses were detected and 13 (20%) reinterventions were performed. Relative risks were 6.9 (95% CI 2.2 to 22.2, p=0.001) for restenosis and 14.6 (95% CI 1.8 to 120.8, p=0.004) for reinterventions between BMS and covered stents. The severity of the treated lesions had no influence on the results. Patients treated with BMS for innominate artery stenosis have more frequent restenoses and reinterventions than patients treated with covered stents.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Advanced Drug Delivery Systems (ADDS) - U1008

Submission date :

2021-01-20T15:59:14Z
2024-02-23T10:53:41Z