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Amendt, Klaus [VerfasserIn]; Zeller, Thomas [VerfasserIn]; Proczka, Robert [VerfasserIn]; Beschorner, Ulrich [VerfasserIn]; Troisi, Nicola [VerfasserIn]; Waliszewski, Matthias [VerfasserIn]; Langhoff, Ralf [VerfasserIn]; Krankenberg, Hans [VerfasserIn]; Hansch, Andreas [VerfasserIn]; Krcmar, Tomislav [VerfasserIn]; Vidjak, Vinko [VerfasserIn]; Nolte-Ernsting, Claus [VerfasserIn]; Hansen, Alexander [VerfasserIn]; Sigl, Martin [VerfasserIn]

Provisional focal stenting of complex femoropopliteal lesions using the Multi-LOC multiple stent delivery system – 12-month results from the LOCOMOTIVE EXTENDED study

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  • Medientyp: E-Book; Sonderdruck
  • Titel: Provisional focal stenting of complex femoropopliteal lesions using the Multi-LOC multiple stent delivery system – 12-month results from the LOCOMOTIVE EXTENDED study
  • Beteiligte: Amendt, Klaus [VerfasserIn]; Zeller, Thomas [VerfasserIn]; Proczka, Robert [VerfasserIn]; Beschorner, Ulrich [VerfasserIn]; Troisi, Nicola [VerfasserIn]; Waliszewski, Matthias [VerfasserIn]; Langhoff, Ralf [VerfasserIn]; Krankenberg, Hans [VerfasserIn]; Hansch, Andreas [VerfasserIn]; Krcmar, Tomislav [VerfasserIn]; Vidjak, Vinko [VerfasserIn]; Nolte-Ernsting, Claus [VerfasserIn]; Hansen, Alexander [VerfasserIn]; Sigl, Martin [VerfasserIn]
  • Erschienen: Bern; Göttingen [u.a.]: Hogrefe Publishing Group, 2021
  • Erschienen in: Vasa ; 50, 3 (2021), 209–216
  • Umfang: 1 Online-Ressource (8 Seiten); Diagramme
  • Sprache: Englisch
  • DOI: 10.1024/0301-1526/a000927
  • ISSN: 1664-2872
  • Identifikator:
  • Entstehung:
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  • Beschreibung: Abstract: Background:<br>This study aimed to evaluate a Multiple Stent Delivery System for provisional focal stenting of the femoropopliteal artery.<br>Patient and methods:<br>The LOCOMOTIVE EXTENDED study (Multi-LOC for flOw liMiting Outcomes after plain old balloon angioplasty and/or drug-coated balloon Treatment in the infrainguinal position with the objectIVE to implant multiple stent segments) is a prospective, single-arm, multicentre observational study. The Multi-LOC Multiple Stent Delivery System (B.Braun, Melsungen, Germany) was used for provisional focal stenting of the femoropopliteal artery. We enrolled 357 patients with 449 femoropopliteal lesions; all had flow-limiting dissections or recoil following angioplasty. Eligibility included Rutherford classification 2 to 5 with a de novo or non-stented restenotic femoropopliteal lesion undergoing plain balloon or drug-coated balloon angioplasty. The 6- and 12-month efficacy endpoints encompassed target lesion revascularisation and primary patency rates.<br>Results:<br>The mean patient age was 71 ± 10 years. The mean lesion length was 16.0 ± 9.7 cm; 44.5% were TASC II C/D lesions and 31.4% were chronic total occlusions. By operator choice, 45% of the patients underwent drug-coated balloon angioplasty. On average, 4.0 stents (each 13 mm long) were placed in each lesion, resulting in a scaffolding proportion of 56% of the total lesion length with a technical success rate of 98.3%. At 6 and 12 months, the freedom from clinically driven target lesion revascularisation was 95.5% and 88.7% and the primary patency rates were 88.7% and 82.3%, respectively. At 12 months, significant improvements were noted in Rutherford categories and ankle-brachial indices. In multiple regression analyses, both diabetes mellitus and no distal run-off vessel showed a trend toward worse TLR, while other factors such as DCB predilation or the lesion length were not predictive.<br>Conclusions:<br>The LOCOMOTIVE EXTENDED study demonstrated the safety and efficacy of the Multi-LOC stent system for focal provisional stenting of complex femoropopliteal lesions
  • Zugangsstatus: Freier Zugang