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THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ATHEROSCLEROTIC LESIONS OF SUPERFICIAL FEMORAL ARTERY: THE BEGINNING OF THE STUDY A.OLESCHUK , M. GENERALOV, D. MAYSTRENKO, A. IVANOV, A.KHMELNITSKIY FSBI «RUSSIAN RESEARCH CENTER OF RADIOLOGY AND SURDICAL TEHNOLOGIES» OF MINISTRY OF HELTHCARE OF THE RUSSIAN FEDERATION, DEPARTMENT OF VASCULAR SURGERY St. Petersburg, Russia 2017

THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

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Page 1: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

THE USE OF BIOACTIVE STENT HELIFLEX

ON PATIENTS WITH ATHEROSCLEROTIC

LESIONS OF SUPERFICIAL FEMORAL

ARTERY: THE BEGINNING OF THE STUDY

A.OLESCHUK , M. GENERALOV, D. MAYSTRENKO, A. IVANOV, A.KHMELNITSKIY

FSBI «RUSSIAN RESEARCH CENTER OF RADIOLOGY AND SURDICAL TEHNOLOGIES» OF

MINISTRY OF HELTHCARE OF THE RUSSIAN FEDERATION, DEPARTMENT OF VASCULAR

SURGERY

St. Petersburg, Russia

2017

Page 2: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

Disclosure

I do not have any potential conflict of interest

Page 3: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

OBJECTIVE

To evaluate the results of the use of stents with

bioactive coating based in the treatment of

patients with atherosclerotic lesions of the

superficial femoral artery (SFA)

Page 4: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

MATERIAL AND METHODS

Between January 2014 to December 2015

25 patient : 16 men and 9 women

Average age 61,3 ± 9,2 years

Classifying TASC II :

Type A - 9 (36 %)

Type B – 7 (28 %)

Type C – 9 (36 %)

Page 5: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

MATERIAL AND METHODSclinical characteristics of the patients

Page 6: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

MATERIAL AND METHODS Characteristics of the arterial bed of the lower limbs *

*according to CT and/or x-ray contrast angiography

Page 7: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

MATERIAL AND METHODS Characteristics of the arterial bed of the lower limbs *

*according to CT and/or x-ray contrast angiography

Page 8: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

MATERIAL AND METHODS

To determine the levels of blood nitric oxide used immunosorbent method

Assessment of the patency of the design was carried out according to the

ultrasonic duplex scanning is carried out in terms 30 days, 6 and 12 months

Page 9: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

BIOACTIVE STENT HELIFLEX

(HexacatH, France)

Clinical outcome of registries and trials employing bioactive stents in coronary artery

EVIDENCE Registry

Mosseri et al

Pori Registry

TIBET Registry

TITAX AMI Trial

Bio Active Stent demonstrating reduced neointimal

proliferation

Bare Metal Stent (Control) showing neointimal proliferation.

BASE-ACS trial

Page 10: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

BIOACTIVE STENT HELIFLEX

(HexacatH, France)

Stents diameter 6 to 8 mm

A length from 50 to 200 mm

Page 11: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

ANGIOGRAHPY OF A PATIENT WITH DAMAGE

SFA

Page 12: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

No-marker of endotelium disfunctionN=24mmol\l

Page 13: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

RESULTS

Procedure success rate was 100 %

Levels of NO : preoperative average was 18,9 ± 2,3 mmol/l, after the

operation 28,9 ± 4,1 mmol/l

Page 14: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

RESULTS

Page 15: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

CONCLUSION

The use of stents with a bioactive coating based on titanium

oxynitride increases the level of NO in blood that can help to

prolong the period of function of endovascular construction.

The first data on the primary patency of stents of this type are

expected to improve long-term results of treatment of patient

with atherosclerotic lesions of the SFA.

Page 16: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

THANK YOU!

Page 17: THE USE OF BIOACTIVE STENT HELIFLEX ON PATIENTS WITH ... · the use of bioactive stent heliflex on patients with atherosclerotic lesions of superficial femoral artery: the beginning

THE USE OF BIOACTIVE STENT HELIFLEX

ON PATIENTS WITH ATHEROSCLEROTIC

LESIONS OF SUPERFICIAL FEMORAL

ARTERY: THE BEGINNING OF THE STUDY

A.OLESCHUK , M. GENERALOV, D. MAYSTRENKO, A. IVANOV, A.KHMELNITSKIY

FSBI «RUSSIAN RESEARCH CENTER OF RADIOLOGY AND SURDICAL TEHNOLOGIES» OF

MINISTRY OF HELTHCARE OF THE RUSSIAN FEDERATION, DEPARTMENT OF VASCULAR

SURGERY

St. Petersburg, Russia

2017