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Primary stenting in infrarenal aortic occlusive disease

Nyman, Ulf LU ; Uher, Petr LU ; Lindh, Mats LU ; Lindblad, Bengt LU and Ivancev, Krassi LU (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)
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author
organization
publishing date
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
2008-06-18 13:53:56
date last changed
2017-08-06 03:46:23
@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},
  volume       = {23},
  year         = {2000},
}