Secure Fixation After EVAR In Patients With Wide Aortic Necks: A Safe And Effective Alternative To Open Surgery In Many Patients, Trial Shows

Main Category: Cardiovascular / Cardiology
Article Date: 24 Nov 2008 - 6:00 PDT

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Recanalization of infrapopliteal arteries is important in patients with chronic limb ischemia to decrease limb-loss.

Dr. Konstantinos Katsanos, of the Department of Radiology, Patras University Hospital School of Medicine, Patras, Greece, reviewed published data that highlighted the promising long-term limb salvage rates of below-the-knee angioplasty. But, he noted re-occlusion following infrapopliteal angioplasty and stenting is identified in more than 50% of cases by 1 year thereby resulting in a high frequency of repeat procedures. Drug-eluting stents (DES) have emerged as a potential solution to prevent restenosis from occurring.

Dr. Katsanos reviewed studies that reported superior 6-month and 1-year angiographic and clinical performance of sirolimus-eluting stents (SES) versus bare metal stents (BMS) in terms of significantly reduced neointimal hyperplasia, higher angiographic primary patency and lower clinically driven re-intervention procedures.

He concluded that infrapopliteal SES for CLI significantly improve primary patency and reduce infrapopliteal vascular restenosis thereby lessening the rate of clinically driven repeat procedures.

Dr. Katsanos cautions, however, that large-scale multicenter randomized trials are required to further investigate the role of infrapopliteal SES in CLI treatment prior to widespread adoption of this technology.

VEITH SYMPOSIUM - New York, November 19th to 23rd

Now in its fourth decade, VEITH SYMPOSIUM provides vascular surgeons, interventional radiologists, interventional cardiologists and other vascular specialists with a unique and exciting format to learn the most current information about what is new and important in the treatment of vascular disease. The 5-day event features rapid-fire presentations from world renowned vascular specialists with emphasis on the latest advances, changing concepts in diagnosis and management, pressing controversies and new techniques.

VEITHsymposium is sponsored by Cleveland Clinic, Cleveland, OH.

www.veithsymposium.org

Source
Pauline T. Mayer
www.ptmhcm.com

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