Long-term results of stenting for chronic iliac artery occlusion.
(2002) In Journal of Endovascular Therapy 9(1). p.67-75- Abstract
- PURPOSE: To evaluate the long-term results of stent placement for chronic occlusions of the iliac arteries. METHODS: Between October 1992 and December 1997, 73 patients (40 men; median age 64 years, range 42-89) with 76 occluded iliac arteries (33 common, 34 external, and 9 both vessels) were treated with percutaneous recanalization and stenting using a variety of self-expanding and balloon-expandable devices. Median occlusion length was 7 cm (range 1-14). Follow-up consisted of clinical assessment, ankle-brachial index measurement, and arteriography or duplex ultrasound when indicated. RESULTS: Anatomical success was achieved in 74 (97%) limbs. Seven (10%) patients experienced major complications: 2 distal embolizations, 2 arterial... (More)
- PURPOSE: To evaluate the long-term results of stent placement for chronic occlusions of the iliac arteries. METHODS: Between October 1992 and December 1997, 73 patients (40 men; median age 64 years, range 42-89) with 76 occluded iliac arteries (33 common, 34 external, and 9 both vessels) were treated with percutaneous recanalization and stenting using a variety of self-expanding and balloon-expandable devices. Median occlusion length was 7 cm (range 1-14). Follow-up consisted of clinical assessment, ankle-brachial index measurement, and arteriography or duplex ultrasound when indicated. RESULTS: Anatomical success was achieved in 74 (97%) limbs. Seven (10%) patients experienced major complications: 2 distal embolizations, 2 arterial ruptures, 1 myocardial infarction, 1 groin hematoma requiring surgery, and 1 contrast-induced nephropathy. There was no 30-day mortality. Over a median follow-up of 27 months (range 1-75), there was 1 early occlusion (< or = 30 days) and 16 late recurrent lesions (11 occlusions and 5 stenoses) at a median 6.2 months (range 1.4-30). The recurrent lesions were treated with endovascular techniques in 8 limbs and surgery in 7 limbs (5 after failed endovascular procedures); 1 patient died before retreatment, and 1 patient refrained from further intervention. Primary and secondary patencies were 79% and 87% at 1 year and 69% and 81% at 3 years, respectively. CONCLUSIONS: Stenting of chronic iliac occlusions is a safe and durable alternative to surgical treatment. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/107728
- author
- Uher, Petr LU ; Nyman, Ulf LU ; Lindh, Mats LU ; Lindblad, Bengt LU and Ivancev, Krassi LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- common iliac artery, external iliac artery, reocclusion, Wallstent, Palmaz stent, Memotherm
- in
- Journal of Endovascular Therapy
- volume
- 9
- issue
- 1
- pages
- 67 - 75
- publisher
- International Society of Endovascular Specialists
- external identifiers
-
- wos:000174732000012
- pmid:11958328
- scopus:0036207641
- ISSN
- 1545-1550
- DOI
- 10.1583/1545-1550(2002)009<0067:LTROSF>2.0.CO;2
- language
- English
- LU publication?
- yes
- id
- d57e5705-3e81-4dfc-a6b7-7b20946248b4 (old id 107728)
- date added to LUP
- 2016-04-01 11:48:58
- date last changed
- 2022-02-03 05:29:48
@article{d57e5705-3e81-4dfc-a6b7-7b20946248b4, abstract = {{PURPOSE: To evaluate the long-term results of stent placement for chronic occlusions of the iliac arteries. METHODS: Between October 1992 and December 1997, 73 patients (40 men; median age 64 years, range 42-89) with 76 occluded iliac arteries (33 common, 34 external, and 9 both vessels) were treated with percutaneous recanalization and stenting using a variety of self-expanding and balloon-expandable devices. Median occlusion length was 7 cm (range 1-14). Follow-up consisted of clinical assessment, ankle-brachial index measurement, and arteriography or duplex ultrasound when indicated. RESULTS: Anatomical success was achieved in 74 (97%) limbs. Seven (10%) patients experienced major complications: 2 distal embolizations, 2 arterial ruptures, 1 myocardial infarction, 1 groin hematoma requiring surgery, and 1 contrast-induced nephropathy. There was no 30-day mortality. Over a median follow-up of 27 months (range 1-75), there was 1 early occlusion (< or = 30 days) and 16 late recurrent lesions (11 occlusions and 5 stenoses) at a median 6.2 months (range 1.4-30). The recurrent lesions were treated with endovascular techniques in 8 limbs and surgery in 7 limbs (5 after failed endovascular procedures); 1 patient died before retreatment, and 1 patient refrained from further intervention. Primary and secondary patencies were 79% and 87% at 1 year and 69% and 81% at 3 years, respectively. CONCLUSIONS: Stenting of chronic iliac occlusions is a safe and durable alternative to surgical treatment.}}, author = {{Uher, Petr and Nyman, Ulf and Lindh, Mats and Lindblad, Bengt and Ivancev, Krassi}}, issn = {{1545-1550}}, keywords = {{common iliac artery; external iliac artery; reocclusion; Wallstent; Palmaz stent; Memotherm}}, language = {{eng}}, number = {{1}}, pages = {{67--75}}, publisher = {{International Society of Endovascular Specialists}}, series = {{Journal of Endovascular Therapy}}, title = {{Long-term results of stenting for chronic iliac artery occlusion.}}, url = {{http://dx.doi.org/10.1583/1545-1550(2002)009<0067:LTROSF>2.0.CO;2}}, doi = {{10.1583/1545-1550(2002)009<0067:LTROSF>2.0.CO;2}}, volume = {{9}}, year = {{2002}}, }