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Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers

  • Authors:
    • Jian Xu
    • Zhao Zheng
    • Yong Yang
    • Wei Zhang
    • Hongliang Zhao
    • Bei E
    • Minwen Zheng
  • View Affiliations / Copyright

    Affiliations: Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China, Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China
    Copyright: © Xu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 4460-4466
    |
    Published online on: January 15, 2018
       https://doi.org/10.3892/mmr.2018.8431
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Abstract

The present study aimed to investigate the technical feasibility and initial clinical outcomes of a covered stent for the endovascular treatment of superficial femoral artery (SFA) pseudoaneurysm in drug abusers. A total of 29 drug abuse patients with SFA pseudoaneurysm, as confirmed by color Doppler sonography, were enrolled to the present study between January 2012 and May 2014. All patients were treated percutaneously by implantation of a covered stent. Physical examination and lower extremity computed tomography angiography were performed at 1 and 9 months postoperation. Furthermore, the ankle‑brachial index (ABI) of all patients was measured. The results indicated that placement of the covered stent was technically successful in all 29 patients. All of the ruptured pseudoaneurysms were successfully sealed with no cases of intraprocedural mortality. In addition, all patients' conditions improved rapidly; active hemorrhage subsidence and vascular bruit disappearance were immediately detected following implantation of the covered stent. During the follow‑up period, pain was markedly alleviated and pulsatile mass was decreased as time increased. No complaints or complications were documented. A total of 9 months postoperation, pain and pulsatile mass were not detected. The patency rate of the stent was 100%, and no migration, occlusion or infection was detected. In addition, the ABI was significantly improved, from 0.52±0.09 to 0.97±0.37 (P<0.01). In conclusion, the placement of a covered stent may be considered a promising approach to provide an effective, safe and minimally invasive option for the treatment of SFA pseudoaneurysm in drug abusers.
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Copy and paste a formatted citation
Spandidos Publications style
Xu J, Zheng Z, Yang Y, Zhang W, Zhao H, E B and Zheng M: Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers. Mol Med Rep 17: 4460-4466, 2018.
APA
Xu, J., Zheng, Z., Yang, Y., Zhang, W., Zhao, H., E, B., & Zheng, M. (2018). Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers. Molecular Medicine Reports, 17, 4460-4466. https://doi.org/10.3892/mmr.2018.8431
MLA
Xu, J., Zheng, Z., Yang, Y., Zhang, W., Zhao, H., E, B., Zheng, M."Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers". Molecular Medicine Reports 17.3 (2018): 4460-4466.
Chicago
Xu, J., Zheng, Z., Yang, Y., Zhang, W., Zhao, H., E, B., Zheng, M."Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers". Molecular Medicine Reports 17, no. 3 (2018): 4460-4466. https://doi.org/10.3892/mmr.2018.8431
Copy and paste a formatted citation
x
Spandidos Publications style
Xu J, Zheng Z, Yang Y, Zhang W, Zhao H, E B and Zheng M: Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers. Mol Med Rep 17: 4460-4466, 2018.
APA
Xu, J., Zheng, Z., Yang, Y., Zhang, W., Zhao, H., E, B., & Zheng, M. (2018). Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers. Molecular Medicine Reports, 17, 4460-4466. https://doi.org/10.3892/mmr.2018.8431
MLA
Xu, J., Zheng, Z., Yang, Y., Zhang, W., Zhao, H., E, B., Zheng, M."Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers". Molecular Medicine Reports 17.3 (2018): 4460-4466.
Chicago
Xu, J., Zheng, Z., Yang, Y., Zhang, W., Zhao, H., E, B., Zheng, M."Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers". Molecular Medicine Reports 17, no. 3 (2018): 4460-4466. https://doi.org/10.3892/mmr.2018.8431
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