Innovative use of self-expanded polytetrafluoroethylene endoprosthesis for percutaneous endovascular interventions

  • Maluenda G
  • Waksman R
  • Bernardo N
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Abstract

VIABAHN (R) endoprosthesis (Gore & Associates, Flagstaff, AZ), a
nitinol self-expanding polytetrafluoroethylene (PTFE) lined stent, has
demonstrated utility for percutaneous treatment of chronic occlusive
disease involving the superficial femoral artery. In a case series
communication we aimed to describe the feasibility of a PTFE-lined stent
for percutaneous treatment of conditions other than chronic occlusive
disease. We report the successful use of PTFE-endoprosthesis to
percutaneously treat several vascular conditions, including
arteriovenous fistula closure, reconstruction of a distal limb of an
aortofemoral endoprosthesis aneurysm, femoral artery perforation repair,
and an exclusion of large saphenous vein graft aortocoronary bypass
aneurysm. This case series illustrates the feasibility of the off-label
use of self-expanded PTFE endoprosthesis to percutaneously treat several
conditions, which would otherwise require open surgical reconstructions.
(c) 2011 Wiley Periodicals, Inc.

Author-supplied keywords

  • aneurysm
  • endoprosthesis
  • endovascular intervention
  • pseudoaneurysm

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