Percutaneous placement of stents in chronic iliac and aortic occlusive disease
(1999) In European Journal of Vascular and Endovascular Surgery 18(2). p.114-121- Abstract
- OBJECTIVES: to evaluate the long-term results of stenting in iliac and aortic occlusive disease and identify factors predicting clinical outcome. Design: retrospective study. MATERIALS AND METHODS: 82 patients (87 limbs) with stenoses (n =63) and occlusions (n =24) in the aortoiliac segment were treated with stents. 81 lesions involved the iliac arteries, 3 the infrarenal aorta and 3 the aortic bifurcation. Primary stenting was performed in 57 limbs (complex stenotic lesions and occlusions). Stents were placed following failed PTA in 30 limbs. Median follow-up was 13.2 months (1-66 months). RESULTS: technical success was 99% and clinical success 89%. Cumulative primary and secondary patency of stented iliac atherosclerotic lesions at 1 and... (More)
- OBJECTIVES: to evaluate the long-term results of stenting in iliac and aortic occlusive disease and identify factors predicting clinical outcome. Design: retrospective study. MATERIALS AND METHODS: 82 patients (87 limbs) with stenoses (n =63) and occlusions (n =24) in the aortoiliac segment were treated with stents. 81 lesions involved the iliac arteries, 3 the infrarenal aorta and 3 the aortic bifurcation. Primary stenting was performed in 57 limbs (complex stenotic lesions and occlusions). Stents were placed following failed PTA in 30 limbs. Median follow-up was 13.2 months (1-66 months). RESULTS: technical success was 99% and clinical success 89%. Cumulative primary and secondary patency of stented iliac atherosclerotic lesions at 1 and 3 years was 75 and 61%, and 83 and 75% respectively. The factors predicting outcome of primary patency identified in Cox multivariate analysis were ankle-brachial index (ABI) prior stenting (p =0.03) and length of the lesion (p =0. 007). Major non-fatal complications occurred in 7.4% of the patients and there were no deaths attributed to the treatment. The 30-day mortality was 3.7%. CONCLUSION: stenting of complex aortoiliac stenoses and chronic occlusions is a safe and effective treatment modality. Long lesions and lower pre-procedure ABIs were found to negatively influence outcome. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1115235
- author
- Uher, Petr LU ; Nyman, Ulf LU ; Forssell, C ; Lindh, Mats LU ; Lindblad, Bengt LU and Ivancev, Krassi LU
- organization
- publishing date
- 1999
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Endoprosthesis, Vascular, Stent–aorta, Iliac artery, Stenosis, Occlusion
- in
- European Journal of Vascular and Endovascular Surgery
- volume
- 18
- issue
- 2
- pages
- 114 - 121
- publisher
- Elsevier
- external identifiers
-
- pmid:10426968
- scopus:0033180361
- ISSN
- 1532-2165
- DOI
- 10.1053/ejvs.1999.0860
- language
- English
- LU publication?
- yes
- id
- ffada0ba-45d4-425a-bbb6-2565976a1391 (old id 1115235)
- date added to LUP
- 2016-04-01 17:08:31
- date last changed
- 2022-03-22 23:39:09
@article{ffada0ba-45d4-425a-bbb6-2565976a1391, abstract = {{OBJECTIVES: to evaluate the long-term results of stenting in iliac and aortic occlusive disease and identify factors predicting clinical outcome. Design: retrospective study. MATERIALS AND METHODS: 82 patients (87 limbs) with stenoses (n =63) and occlusions (n =24) in the aortoiliac segment were treated with stents. 81 lesions involved the iliac arteries, 3 the infrarenal aorta and 3 the aortic bifurcation. Primary stenting was performed in 57 limbs (complex stenotic lesions and occlusions). Stents were placed following failed PTA in 30 limbs. Median follow-up was 13.2 months (1-66 months). RESULTS: technical success was 99% and clinical success 89%. Cumulative primary and secondary patency of stented iliac atherosclerotic lesions at 1 and 3 years was 75 and 61%, and 83 and 75% respectively. The factors predicting outcome of primary patency identified in Cox multivariate analysis were ankle-brachial index (ABI) prior stenting (p =0.03) and length of the lesion (p =0. 007). Major non-fatal complications occurred in 7.4% of the patients and there were no deaths attributed to the treatment. The 30-day mortality was 3.7%. CONCLUSION: stenting of complex aortoiliac stenoses and chronic occlusions is a safe and effective treatment modality. Long lesions and lower pre-procedure ABIs were found to negatively influence outcome.}}, author = {{Uher, Petr and Nyman, Ulf and Forssell, C and Lindh, Mats and Lindblad, Bengt and Ivancev, Krassi}}, issn = {{1532-2165}}, keywords = {{Endoprosthesis; Vascular; Stent–aorta; Iliac artery; Stenosis; Occlusion}}, language = {{eng}}, number = {{2}}, pages = {{114--121}}, publisher = {{Elsevier}}, series = {{European Journal of Vascular and Endovascular Surgery}}, title = {{Percutaneous placement of stents in chronic iliac and aortic occlusive disease}}, url = {{http://dx.doi.org/10.1053/ejvs.1999.0860}}, doi = {{10.1053/ejvs.1999.0860}}, volume = {{18}}, year = {{1999}}, }