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Imaging the Stented Superficial Femoral Artery: Fracture Analysis. John Karwowski, MD Assistant Professor Division of Vascular Surgery. The Superficial Femoral Artery. Supplies the leg below the knee Straight line conduit. The Superficial Femoral Artery.
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Imaging the Stented Superficial Femoral Artery: Fracture Analysis John Karwowski, MD Assistant Professor Division of Vascular Surgery
The Superficial Femoral Artery • Supplies the leg below the knee • Straight line conduit
The Superficial Femoral Artery • Prone to atherosclerosis and occlusion
Stent Failure • In-stent restenosis • De facto primary failure mode of SFA stenting • Flow Compromise • Thrombosis
J Invasive Cardiol 2003 Intimal Hyperplasia • Injury response • Cellular mediated • Pathologic narrowing
Stent Fractures • Unclear contribution • Severe recoil of the original lesion? • Mobile and free superficial femoral artery? • Cause or coincidence?
Current Methods Fluoroscopy Hi definition X-ray Not validated Difficult to reproduce