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Long-term results of stenting for chronic iliac artery occlusion.

Uher, Petr LU ; Nyman, Ulf LU ; Lindh, Mats LU ; Lindblad, Bengt LU and Ivancev, Krassi LU (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)
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author
organization
publishing date
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
2007-07-30 12:24:26
date last changed
2017-08-06 03:35:04
@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 (&lt; 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},
  keyword      = {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},
  volume       = {9},
  year         = {2002},
}