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Percutaneous placement of stents in chronic iliac and aortic occlusive disease

Uher, Petr LU ; Nyman, Ulf LU ; Forssell, C; Lindh, Mats LU ; Lindblad, Bengt LU and Ivancev, Krassi LU (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)
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author
organization
publishing date
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
2008-07-07 16:00:57
date last changed
2017-01-01 07:25:23
@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},
  keyword      = {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},
  volume       = {18},
  year         = {1999},
}