Angioplasty-induced dissections in human iliac arteries: Management with Palmaz balloon-expandable intraluminal stents

Gary J. Becker, Julio C. Palmaz, Chet R. Rees, Karen O. Ehrman, Stephen G. Lalka, Michael C. Dalsing, Dolores F. Cikrit, Gordon K. McLean, Dana R. Burke, Goetz M. Richter, Gerd Noeldge, Oscar Garcia, Bruce F. Waller, Wilfrido R. Castaneda-Zuniga

Research output: Contribution to journalArticle

80 Scopus citations

Abstract

Intravascular stent placement may be an effective treatment for percutaneous transluminal angioplasty (PTA)-induced dissection. Among the first 228 patients treated with Palmaz balloon-expandable intraluminal stents (BEISs) for iliac artery stenosis, stents were used to treat PTA-induced dissection in at least 12 iliac arteries in 11 patients. All 12 vessels were shown by angiography to be severely dissected. Stents were placed at the time of PTA in six vessels and as a separate procedure in the other six. An average of three stents per vessel were employed. All arteries showed marked improvement at angiography. Angiographic follow-up was obtained for eight vessels in seven patients at a mean follow-up time of 12.9 months. All had patent stent lumens with neointima formation, although one stented lumen had narrowed, and another clinical failure occurred despite a patent stented vessel and an ankle-arm index (AAI) of 1.35. With a mean clinical follow-up of 9.5 months, the mean AAI for the stented extremities in the nine remaining patients is 0.91 ± 0.15. Palmaz BEISs are effective in the management of PTA-induced human iliac artery dissection.

Original languageEnglish (US)
Pages (from-to)31-38
Number of pages8
JournalRadiology
Volume176
Issue number1
DOIs
StatePublished - Jul 1990

Keywords

  • Arteries, iliac, 98.444
  • Arteries, transluminal angioplasty, 98.128
  • Arteriosclerosis, 98.721
  • Interventional procedures, experimental, 98.1299
  • Prostheses, 98.456

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Becker, G. J., Palmaz, J. C., Rees, C. R., Ehrman, K. O., Lalka, S. G., Dalsing, M. C., Cikrit, D. F., McLean, G. K., Burke, D. R., Richter, G. M., Noeldge, G., Garcia, O., Waller, B. F., & Castaneda-Zuniga, W. R. (1990). Angioplasty-induced dissections in human iliac arteries: Management with Palmaz balloon-expandable intraluminal stents. Radiology, 176(1), 31-38. https://doi.org/10.1148/radiology.176.1.2141175