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Minocha Dr. PramodKumar
Kothwala Dr. Deveshkumar
Rana Nirav
Prajapati Bhavinkumar
Patel Bhargav
Shah Khusboo
Modi Darshita
Keywords:
Peripheral Artery Disease (PAD), complex vascular regions, PromesaTM JOY Self-Expanding Braided Peripheral Stent System, braided Nitinol, superior flexibility, radial strength, and biocompatibility, PAD lesions.
Abstract:
Peripheral arterial and venous diseases, such as Peripheral Arterial Disease (PAD), Popliteal Artery Aneurysm, Popliteal Artery Entrapment Syndrome (PAES), Intrapopliteal Posterior Tibial Artery Occlusion, and May-Thurner Syndrome, are not only difficult to handle but also require special management in the case of chronic smokers and patients suffering from hypertension and hyperlipidemia. On the other hand, self-expanding braided stents have turned out to be a good and minimally invasive alternative for restoring the blood vessels and giving the blood supply to the limb back.
The objective is to assess the technical performance, safety, and mid-term clinical effect of the Meril Medical Innovations PromesaTM JOY Self-Expanding Braided Peripheral Stent in patients suffering from extensive peripheral vascular lesions.
In the study, five patients with an age range of 49-63 years (mean 54 +- 5.4 years) who had peripheral arterial or venous disease and were symptomatic, underwent endovascular stenting using the PromesaTM JOY system. Deployment of stents was carried out with the use of sheaths ranging from 6F to 7F and guidewires of 0.014 to 0.018 inch under fluoroscopy. The diameters of the stents were from 5 to 7 mm and their lengths from 100 to 150 mm. The patients were put on dual antiplatelet therapy as well as receiving other supportive medications. The patients were followed up at 1 week, 1 month, and 6 months, where they were subjected to clinical assessment and imaging (Doppler ultrasound and MRA) to check for stent patency and symptom relief.
There was a technical success in all the patients with correct stent placement and instantaneous restoration of blood flow. Also, no complications occurred during the procedure. There was a large improvement in the patient's condition which was already reflected in the follow-up, the improvement of the claudication, pain, numbness, and the increase in mobility. The images of the stent location showed no change to the stent at all, and there was no case of the stenosis or thrombosis occurring either. The braided Nitinol stent demonstrate.
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International Journal of Recent Research and Review
ISSN: 2277-8322
Vol. XVIII, Issue 4
December 2025
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PUBLISHED
December 2025
ISSUE
Vol. XVIII, Issue 4
SECTION
Articles
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