Endovascular stents: a review of their use in peripheral arterial disease

Am J Cardiovasc Drugs. 2013 Jun;13(3):199-212. doi: 10.1007/s40256-013-0023-6.

Abstract

Technological advances in the past decade have shifted revascularization strategies from traditional open surgical approaches toward lower-morbidity percutaneous endovascular treatments for patients with lower extremity peripheral arterial disease (PAD). The continuing advances in stent design, more than any other advances, have fueled the growth of catheter-based procedures by improving the safety, durability, and predictability of percutaneous revascularization. Although the 2007 TransAtlantic Inter-Society Consensus (TASC) guidelines recommend endovascular therapy for type A and B aortoiliac and femoropopliteal lesions, recent developments in stent technology and increased experience of interventionists have suggested that a strategy of endovascular therapy first is appropriate in experienced hands for TASC type D lesions. The role of endovascular interventions is also expanding in the treatment of limb-threatening ischemia.

Publication types

  • Review

MeSH terms

  • Animals
  • Endovascular Procedures / methods*
  • Endovascular Procedures / statistics & numerical data
  • Humans
  • Peripheral Arterial Disease / diagnostic imaging*
  • Peripheral Arterial Disease / surgery*
  • Radiography
  • Stents* / statistics & numerical data
  • Treatment Outcome