Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions

Manuel Maynar, Tobias Zander, Zhong Qian, Roman Rostagno, Rafael Llorens, Ignacio Zerolo, David Kirsch, Lisa Sorrells, Wilfrido R. Castañeda

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Purpose: To report our initial experience with a bifurcated endoprosthesis in the management of aortoiliac occlusive disease. Methods: From May 2001 to February 2004, 112 patients were referred to our institution for the management of aortoiliac disease. Among these, 5 (6%) patients (3 men; mean age 57.8 years) with severe ischemia owing to TASC C or D iliac occlusions were selected for endovascular treatment with a bifurcated stent-graft. An Excluder stent-graft was placed after preliminary recanalization (thrombolysis and/or balloon dilation) the day before. The patients were followed clinically and ultrasonographically every 3 months during the first year and semiannually thereafter. Results: Technical success was achieved in all patients. Endovascular aortoiliac bifurcation reconstruction restored iliac artery flow immediately in all cases. There were no procedure-related complications. The mean ankle-brachial index (ABI) was significantly improved, from 0.66±0.04 before the procedure to 0.94±0.06 immediately after the procedure (p<0.01). The aortoiliac reconstructions remained patent during the mean 17-month follow-up (range 3-36), and the ABIs were stable. There was no mortality or amputation required in this series. Conclusions: Endovascular placement of a bifurcated stent-graft appears to be technically feasible, effective, and safe in the management of aortoiliac occlusive disease.

Original languageEnglish (US)
Pages (from-to)22-27
Number of pages6
JournalJournal of Endovascular Therapy
Volume12
Issue number1
DOIs
StatePublished - Feb 1 2005

    Fingerprint

Keywords

  • Aortoiliac segment
  • Endovascular repair
  • Occlusive disease
  • Stent-graft
  • Thrombolysis

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Maynar, M., Zander, T., Qian, Z., Rostagno, R., Llorens, R., Zerolo, I., Kirsch, D., Sorrells, L., & Castañeda, W. R. (2005). Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. Journal of Endovascular Therapy, 12(1), 22-27. https://doi.org/10.1583/04-1370R.1