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

28 Citations (Scopus)

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 2005
Externally publishedYes

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Stents
Transplants
Ankle Brachial Index
Iliac Artery
Therapeutics
Disease Management
Amputation
Dilatation
Ischemia
Mortality

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Maynar, M., Zander, T., Qian, Z., Rostagno, R., Llorens, R., Zerolo, I., ... 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

Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. / Maynar, Manuel; Zander, Tobias; Qian, Zhong; Rostagno, Roman; Llorens, Rafael; Zerolo, Ignacio; Kirsch, David; Sorrells, Lisa; Castañeda, Wilfrido R.

In: Journal of Endovascular Therapy, Vol. 12, No. 1, 02.2005, p. 22-27.

Research output: Contribution to journalArticle

Maynar, M, Zander, T, Qian, Z, Rostagno, R, Llorens, R, Zerolo, I, Kirsch, D, Sorrells, L & Castañeda, WR 2005, 'Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions', Journal of Endovascular Therapy, vol. 12, no. 1, pp. 22-27. https://doi.org/10.1583/04-1370R.1
Maynar M, Zander T, Qian Z, Rostagno R, Llorens R, Zerolo I et al. Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. Journal of Endovascular Therapy. 2005 Feb;12(1):22-27. https://doi.org/10.1583/04-1370R.1
Maynar, Manuel ; Zander, Tobias ; Qian, Zhong ; Rostagno, Roman ; Llorens, Rafael ; Zerolo, Ignacio ; Kirsch, David ; Sorrells, Lisa ; Castañeda, Wilfrido R. / Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. In: Journal of Endovascular Therapy. 2005 ; Vol. 12, No. 1. pp. 22-27.
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