Angioplasty and stenting of completely occluded iliac arteries

C. R. Rees, J. C. Palmaz, O. Garcia, T. Roeren, G. M. Richter, G. Gardiner, D. Schwarten, R. A. Schatz, H. D. Root, W. Rogers

Research output: Contribution to journalArticlepeer-review

92 Scopus citations


Percutaneous angioplasty and placement of balloon-expandable intraluminal stents were performed in 12 iliac occlusions in 12 patients. Indications were limb salvage in seven and claudication in five. After successful stenting, ankle-brachial indexes improved by 0.15 or more in 11 of 12 patients (mean increase, 0.40), transstenotic pressure gradients decreased to less than 5 mm Hg (mean, 0.58 mm Hg) in all patients, and improvement in clinical grade was seen in all patients. At follow-up at 1-14 months (median, 6 months), ankle-brachial indexes were stable (mean, 0.95), and clinical grades were unchanged in all patients. Complications occurred in two patients; both experiences distal embolization, and one, who was receiving corticosteroid therapy, also suffered stent thrombosis. Local surgical embolectomy was successful in both patients, and the thrombosed stent was recanalized with urokinase. This early experience suggests that stenting may play an important role in the management of iliac occlusions, especially in poor surgical candidates.

Original languageEnglish (US)
Pages (from-to)953-959
Number of pages7
Issue number3 II
StatePublished - 1989

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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