PURPOSE: To report results of primary stent placement for treatment of chronic iliac artery occlusions. MATERIALS AND METHODS: The authors placed 154 primary stents in 103 patients with iliac artery occlusions of at least 3 months duration. Mean length of the occluded segments was 5.1 cm. All patients had symptoms, with claudication or trophic changes. Mean ankle-arm index at rest was 0.48. Follow-up included angiography, Doppler ultrasound, and clinical examination. RESULTS: Ninety-nine patients demonstrated clinical improvement, with relief or improvement of claudication. Complications that required percutaneous or surgical intervention occurred in six patients; minor complications occurred in another six. Embolization occurred in five patients. Primary patency was 87% after 1 year, 83% after 2 years, and 78% after 4 years; secondary patency was 94%, 90%, and 88% at 1 year, 2 years, and 4 years, respectively. CONCLUSION: Primary stent placement should be the treatment of choice in unilateral chronic iliac artery occlusion.
PURPOSE: To report results of primary stent placement for treatment of chronic iliac artery occlusions. MATERIALS AND METHODS: The authors placed 154 primary stents in 103 patients with iliac artery occlusions of at least 3 months duration. Mean length of the occluded segments was 5.1 cm. All patients had symptoms, with claudication or trophic changes. Mean ankle-arm index at rest was 0.48. Follow-up included angiography, Doppler ultrasound, and clinical examination. RESULTS: Ninety-nine patients demonstrated clinical improvement, with relief or improvement of claudication. Complications that required percutaneous or surgical intervention occurred in six patients; minor complications occurred in another six. Embolization occurred in five patients. Primary patency was 87% after 1 year, 83% after 2 years, and 78% after 4 years; secondary patency was 94%, 90%, and 88% at 1 year, 2 years, and 4 years, respectively. CONCLUSION: Primary stent placement should be the treatment of choice in unilateral chronic iliac artery occlusion.
Authors: Amish N Raval; Parag V Karmarkar; Michael A Guttman; Cengizhan Ozturk; Smita Sampath; Ranil DeSilva; Ronnier J Aviles; Minnan Xu; Victor J Wright; William H Schenke; Ozgur Kocaturk; Alexander J Dick; Venkatesh K Raman; Ergin Atalar; Elliot R McVeigh; Robert J Lederman Journal: Circulation Date: 2006-02-20 Impact factor: 29.690
Authors: K Schürmann; D Vorwerk; A Kulisch; E Stroehmer-Kulisch; S Biesterfeld; T Stopinski; R W Günther Journal: Cardiovasc Intervent Radiol Date: 1996 Jul-Aug Impact factor: 2.740
Authors: Usman Javed; Christopher R Balwanz; Ehrin J Armstrong; Khung-Keong Yeo; Gagan D Singh; Satinder Singh; David Anderson; Gregory G Westin; William C Pevec; John R Laird Journal: Catheter Cardiovasc Interv Date: 2013-05-25 Impact factor: 2.692