Evidence map›Paper›PMID 29578912›Full record

ArticleAnnals of surgery2019

Stent Design Affects Femoropopliteal Artery Deformation.

Jason MacTaggart, William Poulson, Andreas Seas, Paul Deegan, Carol Lomneth, Anastasia Desyatova, Kaspars Maleckis, Alexey Kamenskiy

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Annals of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
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  8. Article
  9. Article
  10. Treatment Options in Isolated Atherosclerotic Popliteal Artery Disease.Journal of cardiovascular development and disease · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Off-label use of interwoven carotid stent in common femoral artery occlusion after surgery.Journal of vascular surgery cases and innovative techniques · 2023
    Article
  19. Article
  20. Common Femoral Artery Curvature During Hip Flexion.Cardiovascular and interventional radiology · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jason MacTaggartUniversity of Nebraska Medical Center, Omaha, NE.
William PoulsonUniversity of Nebraska Medical Center, Omaha, NE.
Andreas SeasDuke University, Durham, NC.
Paul DeeganUniversity of Nebraska Medical Center, Omaha, NE.
Carol LomnethCreighton University, Omaha, NE.
Anastasia DesyatovaUniversity of Nebraska Medical Center, Omaha, NE.
Kaspars MaleckisUniversity of Nebraska Medical Center, Omaha, NE.
Alexey KamenskiyUniversity of Nebraska Medical Center, Omaha, NE.
University of Nebraska Medical Center · USCreighton University · USDuke University · US

Funding

Optimized Stents for the Femoropopliteal ArteryR01HL125736 · NHLBI · UNIVERSITY OF NEBRASKA OMAHA · PI KAMENSKIY, ALEXEY, MACTAGGART, JASON · 2015 to 2024
$6.3M
Computational Tool to Assess Performance of the Aortic Trauma Stent-GraftsF32HL124905 · NHLBI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DESYATOVA, ANASTASIA S · 2015 to 2017
$173k
NHLBI NIH HHS F32 HL124905NHLBI NIH HHS R01 HL125736
6 · The paper itself

Abstract

backgroundPoor durability of femoropopliteal artery (FPA) stenting is multifactorial, and severe FPA deformations occurring with limb flexion are likely involved. Different stent designs result in dissimilar stent-artery interactions, but the degree of these effects in the FPA is insufficiently understood.

objectivesTo determine how different stent designs affect limb flexion-induced FPA deformations.

methodsRetrievable markers were deployed into n = 28 FPAs of lightly embalmed human cadavers. Bodies were perfused and CT images were acquired with limbs in the standing, walking, sitting, and gardening postures. Image analysis allowed measurement of baseline FPA foreshortening, bending, and twisting associated with each posture. Markers were retrieved and 7 different stents were deployed across the adductor hiatus in the same limbs. Markers were then redeployed in the stented FPAs, and limbs were reimaged. Baseline and stented FPA deformations were compared to determine the influence of each stent design.

resultsProximal to the stent, Innova, Supera, and SmartFlex exacerbated foreshortening, SmartFlex exacerbated twisting, and SmartControl restricted bending of the FPA. Within the stent, all devices except Viabahn restricted foreshortening; Supera, SmartControl, and AbsolutePro restricted twisting; SmartFlex and Innova exacerbated twisting; and Supera and Viabahn restricted bending. Distal to the stents, all devices except AbsolutePro and Innova exacerbated foreshortening, and Viabahn, Supera, Zilver, and SmartControl exacerbated twisting. All stents except Supera were pinched in flexed limb postures.

conclusionsPeripheral self-expanding stents significantly affect limb flexion-induced FPA deformations, but in different ways. Although certain designs seem to accommodate some deformation modes, no device was able to match all FPA deformations.

Indexed as

Prosthesis DesignSelf Expandable Metallic StentsAgedAged, 80 and overAtherosclerosisBiomechanical PhenomenaFemaleFemoral ArteryHumansMaleMiddle AgedPopliteal ArteryProsthesis FailureTomography, X-Ray Computed

Identifiers

PMID29578912
PMCPMC6151294
OpenAlexW2801594308

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.