Primary stent placement for chronic iliac artery occlusions: follow-up results in 103 patients
- PMID:7862973
- DOI: 10.1148/radiology.194.3.7862973
Primary stent placement for chronic iliac artery occlusions: follow-up results in 103 patients
Abstract
Purpose: To report results of primary stent placement for treatment of chronic iliac artery occlusions.
Materials and methods: The authors placed 154 primary stents in 103 patients with iliac artery occlusions of at least 3 months duration. Mean length of the occluded segments was 5.1 cm. All patients had symptoms, with claudication or trophic changes. Mean ankle-arm index at rest was 0.48. Follow-up included angiography, Doppler ultrasound, and clinical examination.
Results: Ninety-nine patients demonstrated clinical improvement, with relief or improvement of claudication. Complications that required percutaneous or surgical intervention occurred in six patients; minor complications occurred in another six. Embolization occurred in five patients. Primary patency was 87% after 1 year, 83% after 2 years, and 78% after 4 years; secondary patency was 94%, 90%, and 88% at 1 year, 2 years, and 4 years, respectively.
Conclusion: Primary stent placement should be the treatment of choice in unilateral chronic iliac artery occlusion.
Similar articles
- [Percutaneous revascularization of chronic iliac artery occlusions with primary stent placement].Fava M, Loyola MS.Fava M, et al.Rev Med Chil. 1999 Aug;127(8):895-902.Rev Med Chil. 1999.PMID:10752249Spanish.
- Aortoiliac insufficiency: long-term experience with stent placement for treatment.Murphy TP, Ariaratnam NS, Carney WI Jr, Marcaccio EJ, Slaiby JM, Soares GM, Kim HM.Murphy TP, et al.Radiology. 2004 Apr;231(1):243-9. doi: 10.1148/radiol.2311030408. Epub 2004 Feb 19.Radiology. 2004.PMID:15068949
- Iliac artery recanalization of chronic occlusions to facilitate endovascular aneurysm repair.Vallabhaneni R, Sorial EE, Jordan WD Jr, Minion DJ, Farber MA.Vallabhaneni R, et al.J Vasc Surg. 2012 Dec;56(6):1549-54; discussion 1554. doi: 10.1016/j.jvs.2012.05.089. Epub 2012 Sep 7.J Vasc Surg. 2012.PMID:22960023
- Long-term results of a multicenter randomized study on direct versus crossover bypass for unilateral iliac artery occlusive disease.Ricco JB, Probst H; French University Surgeons Association.Ricco JB, et al.J Vasc Surg. 2008 Jan;47(1):45-53; discussion 53-4. doi: 10.1016/j.jvs.2007.08.050. Epub 2007 Nov 7.J Vasc Surg. 2008.PMID:17997269Clinical Trial.
- Selection of stents for treating iliac arterial occlusive disease.Leung DA, Spinosa DJ, Hagspiel KD, Angle JF, Matsumoto AH.Leung DA, et al.J Vasc Interv Radiol. 2003 Feb;14(2 Pt 1):137-52. doi: 10.1097/01.rvi.0000058316.82956.56.J Vasc Interv Radiol. 2003.PMID:12582183Review.
Cited by
- State of the art: which stent for which lesion in peripheral interventions?Henry M, Klonaris C, Amor M, Henry I, Tzvetanov K.Henry M, et al.Tex Heart Inst J. 2000;27(2):119-26.Tex Heart Inst J. 2000.PMID:10928499Free PMC article.Review.
- Primary stent placement for iliac artery chronic total occlusions.Kondo Y, Dardik A, Muto A, Koizumi J, Nishibe M, Nishibe T.Kondo Y, et al.Surg Today. 2010 May;40(5):433-9. doi: 10.1007/s00595-009-4102-x. Epub 2010 Apr 28.Surg Today. 2010.PMID:20425546
- Endovascular stents for intermittent claudication.Bachoo P, Thorpe PA, Maxwell H, Welch K.Bachoo P, et al.Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD003228. doi: 10.1002/14651858.CD003228.pub2.Cochrane Database Syst Rev. 2010.PMID:20091540Free PMC article.Review.
- Endovascular Management of Flush Common Iliac Artery Occlusive Disease: Challenges and Solutions.Ghoneim B, Eldaly W, Elwan H, Taha A.Ghoneim B, et al.Int J Angiol. 2017 Mar;26(1):20-26. doi: 10.1055/s-0036-1584902. Epub 2016 Jul 25.Int J Angiol. 2017.PMID:28255211Free PMC article.
- [Peripheral arterial obstruction and acute lower limb ischemia].Storck M, Wagner HJ.Storck M, et al.Chirurg. 2007 Jul;78(7):611-9. doi: 10.1007/s00104-007-1369-6.Chirurg. 2007.PMID:17593334Review.German.
MeSH terms
Related information
LinkOut - more resources
Full Text Sources