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