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Abstract
Inspite of the endovascular management of TASC C and D lesions becomes a routine, stenting the femoro popliteal segment still controversial. Between November 2013 and March 2015; 102 limbs presented with denovo femoro popliteal lesions TASC C and D. All treated with balloon angioplasty with bail out stenting with self expandable nitinol stents. Patients followed prospectively by clinical assessment, duplex, and biplane X ray for stent. At a mean 9 ± 5.6 months, a complete follow up of 150 stents in 102 limbs, mean length of stented segment was 16.5±9.9cm; one stent in 64.7%, two stents in 25.5%, and three stents in 9.8% with the incidence of stent fracture was77%, 87%, and 60% respectively. The mean length of stents in whom one and two stents inserted was {u2264}10cm in 53% of limbs. Type I stent fracture was 9%, type II was 53%, type III was 26% and type IV was 12%. 82.4% of stents were fractured and 80% of the patients were diabetics and concomitant tibial angioplasty was done in 88.2% of the patients; 51.4% had one vessel as a distal run - off and 54% of them had peroneal artery as a single distal run - off vessel. The location of stents were 35.3% of stents in the proximal SFA, 67.6% of stent in the mid and distal SFA, and 8% were in the upper popliteal artery. 40% of inserted stents were epic (boston scientific), 29% were protégé Ever Flex, 23% were E Lumminexx, and 8% were absolute pro of (brad). Among fractured stent group, there were no significant difference in the incidence or type of stent fracture and either location of the stent or the manufacture type