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The strecker stent: Indications and results in iliac and femoropopliteal arteries

  • Vascular Applications: Arteries
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Abstract

We have implanted more than 100 Strecker stents in the iliac and femoral arteries. In iliac arteries, follow-up is available from 8 to 48 months (mean 20 months) and in peripheral arteries, from 8 to 32 months (mean 19 months). In iliac and proximal femoral arteries there was a patency rate of 98% (mean 20 months after stent implantation) whereas in peripheral arteries the patency rate was 70.8% (mean 19 months after stent implantation). Besides careful selection of patients, anticoagulation is very important for successful stenting. Because of the excellent results of stents in iliac vessels there is a wide range of good indications, including primary stenting after recanalization of occlusions. In contrast, stent implantation in peripheral vessels should be restricted to special cases such as acute dissection or reocclusion after successful recanalization.

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References

  1. Dotter CT (1969) Transluminal placed coilspring and arterial grafts: Long-term patency in canine popliteal artery. Invest Radiol 4:329–332

    Article  CAS  PubMed  Google Scholar 

  2. Cragg A, Lung G, Rysavy J, Castaneda F, CastanedaZuniga W, Amplatz K (1983) Surgical placement of arterial endoprostheses: A new technique using nitinol wire. Radiology 147:261–263

    Article  CAS  PubMed  Google Scholar 

  3. Maass D, Zollikofer CL, Largiader F, Senning A (1984) Radiological follow-up of transluminal inserted vascular endoprostheses: An experimental study using expanding spirals. Radiology 152:659–663

    Article  CAS  PubMed  Google Scholar 

  4. Wright KC, Wallace S, Charsangavej C, Carrasco H, Gianturco C (1985) Percutaneous endovascular stents: An experimental evaluation. Radiology 156:69–72

    Article  CAS  PubMed  Google Scholar 

  5. Palmaz JC, Sibbitt RR, Reuter SR (1985) Expendableintraluminal graft: A preliminary study. Radiology 156:73–77

    Article  CAS  PubMed  Google Scholar 

  6. Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L (1987) Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med 316:701–706

    Article  CAS  PubMed  Google Scholar 

  7. Duprat G, Wright K, Charnsangavej C, Wallace S, Gianturco C (1987) Self-expanding metallic stents for small vessels: An experimental evaluation. Radiology 162:469–472

    Article  PubMed  Google Scholar 

  8. Strecker EP, Ber G, Schneider B, Freudenberg N, Weber H, Wolf RD (1988) A new vascular ballon expandable prosthesis: Experimental studies and first clinical results. J Interv Radiol 3:59–62

    Google Scholar 

  9. Strecker EP, Liermann D, Barth KH, Wolf HRD, Freudenberg N, Berg G, Westphal M, Tsikuras P, Savin M, Schneider B (1990) Expandable tubular stents for treatment of arterial occlusive diseases: Experimental and clinical results. Radiology 175:97–102

    Article  CAS  PubMed  Google Scholar 

  10. Charnsangavej C, Carrasco CH, Wallace S, Wright KC, Ogawa K, Richli W, Gianturco C (1986) Stenosis of the vena cava: Preliminary assessment of treatment with expandable metallic stents. Radiology 161:295–298

    Article  CAS  PubMed  Google Scholar 

  11. Sugita Y, Shimomitso T, Oku T, Sutton CS, Murabayashi S (1986) Nonsurgical implantation of a vascular ring prosthesis using thermal shape memory Ti/Ni alloy (Nitinol wire). Am Soc Artif Intern Organs 30–34

  12. Rousseau H, Puel J, Joffre F, Sigwart U, Dubouener C, Imbert C, Knight C, Kropf L, Wallsten H (1987) Self-expanding endovascular prosthesis: An experimental study. Radiology 164:709–714

    Article  CAS  PubMed  Google Scholar 

  13. Zollikofer CL, Largiader I, Bruhlmann WF, Uhlschmid GK, Marty AH (1988) Endovascular stenting of veins and grafts: Preliminary clinical experiences. Radiology 167:701–712

    Article  Google Scholar 

  14. Putnam JS, Uchida BT, Antonovic R, Rösch J (1988) Superior vena cava syndrome associated with massive thrombosis: Treatment with expandable wire stents. Radiology 167:727–728

    Article  CAS  PubMed  Google Scholar 

  15. Palmaz CJ, Richter GM, Noeldge G, Schatz RA, Robinson PD, Gardiner GA, Becker GJ, McLean GK, Denny DF Jr. Lammer J, Paolini RM, Rees RC, Alvarado R, Heiss HW, Root HD, Rogers W (1988) Intraluminal stents in atherosclerotic iliac artery stenosis: Preliminary report of a multicenter study. Radiology 168:727–731

    Article  CAS  PubMed  Google Scholar 

  16. Sutton CS, Oku T, Harasaki H, Kambic HE, Sugita Y, Murabayashi S, Shirey E, Nosè Y (1988) Titanum-nickel intravascular endoprosthesis: A two year study in dogs. AJR 151:597–601

    Article  CAS  PubMed  Google Scholar 

  17. Triller J, Mahler F, Thalmann D (1989) Die vaskuläre Endoprothese bei femoropoplitealer Verschlußkrankheit. Fortschr Röntgenstr 150:328–334

    Article  CAS  Google Scholar 

  18. Günther RW, Vorwerk D, Bohndorf K, Peters I, El Din A, Messmer B (1989) Iliac and femoral artery stenosis and occlusion: Treatment with intravascular stents. Radiology 172:725–730

    Article  PubMed  Google Scholar 

  19. Liermann D, Strecker EP, Vallbracht C, Kollath J (1990) Indikation und klinischer Einsatz des Strecker-Stents. In: Kollath J and Liermann D (eds), Stents ein aktueller Überblick. Konstanz, pp 24–37

  20. Kylberg K (1975) The use of tantalum clips in general surgery. Acta Chir Scand 141:242–244

    CAS  PubMed  Google Scholar 

  21. Holst H, Collins P, Steiner L (1981) Titanium, silver and tantalum clips in brain tissue. Acta Neurochirurgica 56:239–242

    Article  Google Scholar 

  22. Rabenseifner I, Küsswetter W, Wünsch PH, Schwab M (1984) Ist die Knochenbruchheilung bei dem gewebeverträglichen Implantatwerkstoffen Tantal und Niob gegenüber Stahlimplantaten verändert?. Z Orthop 122:349–355

    Article  CAS  PubMed  Google Scholar 

  23. Samitz MH, Katz SA (1975) Nickel dermatitis hazard from prosthesis. Br J Dermatol 92:287–290

    Article  CAS  PubMed  Google Scholar 

  24. Sawyer PH, Stanczewski B, Srinivasan S, Stempak JG, Kammlot GW (1974) Electronmicroscopy and physical chemistry in prosthetic heart valves, skirts and struts. J Thorac Cardiovasc Surg 67:25–32

    Google Scholar 

  25. Matsumoto AH, Teiltelbaum GP, Barth KH, Carvlin MJ. Savin MA, Strecker EP (1989) Tantalum vascular stent: In vivo evaluation with MR imaging radiology. 170:753–755

  26. Laerum BF, Vlodaver Z, CastanedaZuniga WR, Edwards JE, Amplatz K (1982) The mechanism of angioplasty. Fortschr Röntgenstrahlen 136:573–576

    Article  CAS  Google Scholar 

  27. Le Veen RF, Wolf GL, Villanueva TG (1982) New rabbit atherosclerotic model for the investigation of transluminal angioplasty. Invest Raidol 17:470–475

    Article  Google Scholar 

  28. Wolf GL, Le Veen RF, Ring EJ (1984) Potential mechanism of angioplasty. Intervent Raidol 7:11–17

    CAS  Google Scholar 

  29. Faxon DP, Sanborn TA, Weber VJ (1984) Restenosis following transluminal angioplasty in experimental atherosclerosis. Arteriosclerosis 4:189–195

    Article  CAS  PubMed  Google Scholar 

  30. Cox JL, Gottlieb AL (1986) Restenosis following percutaneous transluminal angioplasty: Clinical, physiological and pathological features. Can Med Assoc J 134:1129–1132

    CAS  Google Scholar 

  31. Mabin TA, Holmes DR, Smith HC (1985) Follow-up clinical results in patients undergoing percutaneous transluminal coronary angioplasty. Circulation 71:754–760

    Article  CAS  PubMed  Google Scholar 

  32. Block PC (1985) Percutaneous transluminal coronary angioplasty. In Connor WE, Bristow JD (eds) Coronary heart disease: Prevention, complications and treatment. Lippincott, Philadelphia, pp 405–418

    Google Scholar 

  33. Wissler RW (1984) Principles of the pathogenesis of atherosclerosis. In: Braunwald E (ed) Heart disease: A textbook of cardiovascular medicine, vol 2, 2nd ed. WB Saunders, Philadelphia, pp 1183–1204

    Google Scholar 

  34. Rousseau H, Joffre F, Raillat C, Julian M, Pierragi MT, Chlabi F, Bouissou H (1989) Self-expanding endovascular stent in experimental atherosclerosis. Radiology 170:773–778

    Article  CAS  PubMed  Google Scholar 

  35. Essed CE, Van den Brand M, Becker AE (1983) Transluminal coronary angioplasty and early restenosis: Fibrocellular occlusion after wall laceration. Br Heart J 49:393–396

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Palmaz JC, Windeler SA, Garcia F (1986) Atherosclerotic rabbit aortas: Expandable intraluminal grafting. Radiology 160:723–726

    Article  CAS  PubMed  Google Scholar 

  37. Rollins N, Wright KC, Charnsangavej C, Gianturco C (1987) Self-expanding metallic stents: Preliminary evaluation in an atherosclerotic model. Radiology 163:739–742

    Article  CAS  PubMed  Google Scholar 

  38. Barth KH, Virmani R, Strecker EP, Savin M, Lindisch D, Matsumoto AH, Teitelbaum GP (1990) Flexible tantalum stents implanted in aortas and iliac arteries: Effects in normal canines. Radiology 175:91–96

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Klinikum der J. W. Goethe Universität Frankfurt, Frankfurt/Main, Germany

    D. Liermann & J. Peters

  2. Department of Roentgendiagnostic und Nuclear Medicine, Ev. Diakonissenkrankenhaus Karlsruhe, Karlsruhe, Germany

    E. P. Strecker

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  1. D. Liermann
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  2. E. P. Strecker
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  3. J. Peters
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Liermann, D., Strecker, E.P. & Peters, J. The strecker stent: Indications and results in iliac and femoropopliteal arteries. Cardiovasc Intervent Radiol 15, 298–305 (1992). https://doi.org/10.1007/BF02733954

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