Infrarenal aortic stenosis: long-term clinical and hemodynamic results of percutaneous transluminal angioplasty.

Abstract

Infrarenal aortic PTA proved to be safe and provided durable, long-term clinical improvement. In this group of relatively young patients, the clinical patency rate of PTA was equivalent to that of aortic surgery but with less morbidity.

Endovascular treatment of steno-occlusions of the infrarenal abdominal aorta

“…Endovascular treatment of infrarenal aortic stenosis has been proposed [28,29] as a viable alternative to surgical revascularisation since the 1980s, and data available have established the safety and effectiveness of PTA, with an 85% primary and a 90% secondary patency rate [7][8][9][10][11][12] together with a low (3%) risk of major complications, such as vessel-wall rupture and distal and visceral embolism [21]. However, most evidence concerns the treatment of focal (<20-mm) stenoses not involving the distal aortic bifurcation [21].…”

“…Il trattamento endovascolare delle stenosi dell'aorta sottorenale è stato proposto a partire dal 1980 [28,29] come una valida alternativa alla rivascolarizzazione chirurgica e i dati disponibili in letteratura hanno stabilito l'efficacia della PTA con pervietà primaria dell'85% e secondaria del 90% [7][8][9][10][11][12] e con basso tasso di complicanze maggiori (3%) quali la rottura della parete vasale e l'embolizzazione distale o viscerale [21]. Comunque la maggior parte dei dati riguarda il trattamento di stenosi focali (<20 mm) che non coinvolgevano la biforcazione aortica [21].…”

“…La mini-invasività, la riduzione della morbidità e dei costi rispetto alla chirurgia e i buoni risultati immediati e a distanza [7][8][9][10][11][12] hanno consolidato il ruolo della PTA come approccio di prima scelta nel trattamento delle stenosi focali dell'aorta sottorenale [11].…”

“…Its limited invasiveness, lower morbidity and costs in comparison to surgery and favourable early and long-term results [7][8][9][10][11][12] have subsequently established the role of PTA as the first-choice strategy in the management of focal infrarenal aortic stenosis [11].…”

Metallic Stents in the Renal and Peripheral Arteries

“…Many of the reports are of isolated cases within series of aortoiliac stenting. [34][35][36][37] However, Audet et al 39 reported results of PTA and stenting in infrarenal aortic stenotic disease. They included 17 of 92 patients in whom stents were placed, either because of a poor angioplasty result or because of previous restenosis.…”