Primary stenting in infrarenal aortic occlusive disease
(2000) In Cardiovascular and Interventional Radiology 23(2). p.97-108- Abstract
- PURPOSE: To evaluate the results of primary stenting in aortic occlusive disease. METHODS: Thirty patients underwent primary stenting of focal concentric (n = 2) and complex aortic stenoses (n = 19), and aortic or aorto-iliac occlusions (n = 9). Sixteen patients underwent endovascular outflow procedures, three of whom also had distal open surgical reconstructions. Median follow-up was 16 months (range 1-60 months). RESULTS: Guidewire crossing of two aorto-biiliac occlusions failed, resulting in a 93% (28/30) technical success. Major complications included one access hematoma, one myocardial infarction, one death (recurrent thromboembolism) in a patient with widespread malignancy, and one fatal hemorrhage during thrombolysis of distal... (More)
- PURPOSE: To evaluate the results of primary stenting in aortic occlusive disease. METHODS: Thirty patients underwent primary stenting of focal concentric (n = 2) and complex aortic stenoses (n = 19), and aortic or aorto-iliac occlusions (n = 9). Sixteen patients underwent endovascular outflow procedures, three of whom also had distal open surgical reconstructions. Median follow-up was 16 months (range 1-60 months). RESULTS: Guidewire crossing of two aorto-biiliac occlusions failed, resulting in a 93% (28/30) technical success. Major complications included one access hematoma, one myocardial infarction, one death (recurrent thromboembolism) in a patient with widespread malignancy, and one fatal hemorrhage during thrombolysis of distal emboli from a recanalized occluded iliac artery. One patient did not improve his symptoms, resulting in a 1-month clinical success of 83% (25/30). Following restenting the 26 stented survivors changed their clinical limb status to +3 (n = 17) and +2 (n = 9). During follow-up one symptomatic aortic restenosis occurred and was successfully restented. CONCLUSIONS: Primary stenting of complex aortic stenoses and short occlusions is an attractive alternative to conventional surgery. Larger studies with longer follow-up and stratification of lesion morphology are warranted to define its role relative to balloon angioplasty. Stenting of aorto-biiliac occlusions is feasible but its role relative to bypass grafting remains to be defined. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1118085
- author
- Nyman, Ulf LU ; Uher, Petr LU ; Lindh, Mats LU ; Lindblad, Bengt LU and Ivancev, Krassi LU
- organization
- publishing date
- 2000
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Cardiovascular and Interventional Radiology
- volume
- 23
- issue
- 2
- pages
- 97 - 108
- publisher
- Springer
- external identifiers
-
- pmid:10795833
- scopus:0034001794
- ISSN
- 1432-086X
- DOI
- 10.1007/s002709910021
- language
- English
- LU publication?
- yes
- id
- cc33008a-f830-4b3d-a47e-d77c770bdb8f (old id 1118085)
- date added to LUP
- 2016-04-01 12:21:08
- date last changed
- 2022-01-27 02:29:30
@article{cc33008a-f830-4b3d-a47e-d77c770bdb8f,
abstract = {{PURPOSE: To evaluate the results of primary stenting in aortic occlusive disease. METHODS: Thirty patients underwent primary stenting of focal concentric (n = 2) and complex aortic stenoses (n = 19), and aortic or aorto-iliac occlusions (n = 9). Sixteen patients underwent endovascular outflow procedures, three of whom also had distal open surgical reconstructions. Median follow-up was 16 months (range 1-60 months). RESULTS: Guidewire crossing of two aorto-biiliac occlusions failed, resulting in a 93% (28/30) technical success. Major complications included one access hematoma, one myocardial infarction, one death (recurrent thromboembolism) in a patient with widespread malignancy, and one fatal hemorrhage during thrombolysis of distal emboli from a recanalized occluded iliac artery. One patient did not improve his symptoms, resulting in a 1-month clinical success of 83% (25/30). Following restenting the 26 stented survivors changed their clinical limb status to +3 (n = 17) and +2 (n = 9). During follow-up one symptomatic aortic restenosis occurred and was successfully restented. CONCLUSIONS: Primary stenting of complex aortic stenoses and short occlusions is an attractive alternative to conventional surgery. Larger studies with longer follow-up and stratification of lesion morphology are warranted to define its role relative to balloon angioplasty. Stenting of aorto-biiliac occlusions is feasible but its role relative to bypass grafting remains to be defined.}},
author = {{Nyman, Ulf and Uher, Petr and Lindh, Mats and Lindblad, Bengt and Ivancev, Krassi}},
issn = {{1432-086X}},
language = {{eng}},
number = {{2}},
pages = {{97--108}},
publisher = {{Springer}},
series = {{Cardiovascular and Interventional Radiology}},
title = {{Primary stenting in infrarenal aortic occlusive disease}},
url = {{http://dx.doi.org/10.1007/s002709910021}},
doi = {{10.1007/s002709910021}},
volume = {{23}},
year = {{2000}},
}