Treatment of chronic iliac artery occlusions with guide wire recanalization and primary stent placement

Ricardo Reyes, Manuel Maynar, Jorge Lopera, Hector Ferral, Elias Gorriz, J. Carreira, Wilfrido R Castaneda

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

PURPOSE: To evaluate the results of primary stent placement without initial thrombolysis in the treatment of iliac occlusions. MATERIALS AND METHODS: During a 3-year period, 61 iliac artery occlusions were treated in 59 patients. The mean length of the occluded segment was 10 cm (range, 4-25 cm). The occluded arteries were treated with primary placement of self- expandable metallic stents. RESULTS: Successful recanalization with primary stent placement was possible in 56 of 61 occlusions (92% technical success rate). Mean Doppler ankle/brachial index increased from 0.51 to 0.90 immediately after treatment and was 0.91 on the last follow-up (P < .05). Primary patency rate at 24 months was 73%, and secondary patency rate was 88%. Procedural complications included distal embolization (n = 4) and an episode of massive intra-abdominal bleeding. Three patients developed a hematoma at the puncture site that did not require additional therapy. Late complications included stent occlusion (n = 9) and significant stenosis related to intimal hyperplasia (n = 1). Mean follow-up period was 29 months (range, 7-55 months). CONCLUSION: Primary stent placement is an effective therapeutic option for lilac artery occlusions.

Original languageEnglish (US)
Pages (from-to)1049-1055
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume8
Issue number6
DOIs
StatePublished - 1997
Externally publishedYes

Keywords

  • Arteries, grafts and prostheses
  • Arteries, iliac
  • Arteries, stenosis or obstruction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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