Long-Term Results of Stenting for Chronic Iliac Artery Occlusion

Uher, Petr; Nyman, Ulf; Lindh, Mats; Lindblad, Bengt; Ivancev, Krasnodar

doi:10.1177/152660280200900112

Cited by 41 publications

(40 citation statements)

References 39 publications

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“…Compared with these data, we observed an improved mid-term outcome in our study with lower embolic complication rates than reported in other studies [3,14]. One of the reasons for this is that we employed the laser as a debulking device prior to stent implantation, which might reduce the incidence of distal embolization as well as restenosis by creating a smoother plaque surface below the stent.…”

Section: Discussioncontrasting

confidence: 66%

Percutaneous laser-assisted recanalization of long chronic iliac artery occlusions: primary and mid-term results

et al. 2005

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We report the primary and mid-term outcome of patients with long chronic iliac artery occlusions after percutaneous excimer-laser-assisted interventional recanalization. Between 2000 and 2001, 43 patients with 46 chronic occlusions of either the common iliac artery (n=27), the external iliac artery ( n=13) or both (n=3) underwent laser-assisted percutaneous transluminal angioplasty and implantation of stents. The average length of the occlusion was 57.1+/-26 mm. After laser-assisted angioplasty and implantation of a total of 60 stents, the patients were followed up for up to 4 years. Patency rates were analyzed by ankle-brachial index (ABI) measurement and duplex ultrasound. The primary technical success rate was 95.3%, with a major complication rate of 6.9%. Clinical improvement as categorized by the Rutherford guidelines could be observed in 97.6% of cases. The ABI of all patients improved from an average of 0.46+/-0.08 before intervention to 0.97+/-0.13 at the end of the follow-up period. The overall primary patency rate was 86.1%. Four reinterventions were successful (secondary patency rate 95.4%). The mid-term results of the percutaneous recanalization of iliac artery occlusions with primary and secondary patency rates of 86.1 and 95.4% are similar to those of the treatment of short stenoses.

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Section: Discussioncontrasting

confidence: 66%

Percutaneous laser-assisted recanalization of long chronic iliac artery occlusions: primary and mid-term results

et al. 2005

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“…Recent series of primary stent placement for CTOs reported the 2-year primary and secondary or assisted primary patency rates of 69%-93% and 85%-95%, respectively. [3][4][5][6][7][8][9][10][11][12] Our series demonstrated 2-year primary and assisted primary patency rates of 91% and 96%, at the high end of the range of recent reports. However, although our patency rates for primary stents placed for iliac CTOs were better than those reported for extra-anatomic bypasses, such as axillofemoral and femorofemoral bypasses, these patency rates were not better than the patency conventionally reported for aortobifemoral bypass.…”

Section: Discussionmentioning

confidence: 49%

“…The 5-year primary and assisted primary patency rates were 55%-85% and 66%-95%, while those at 10 years was 68% (Table 2). 4,[7][8][9][10]12 Primary patency rates of aortobifemoral bypass for patients with claudication were reported to be 91.0% and 86.8% at 5 and 10 years, respectively, while 87.5% and 81.8% for patients with critical limb ischemia. 25 To date, the long-term durability appears to be better in aortobifemoral bypass than in primary stent placement, but it is highly likely that during the next few years endovascular techniques will be further refi ned, thereby leading an improved longterm durability.…”

Section: Discussionmentioning

confidence: 96%

Primary stent placement for iliac artery chronic total occlusions

Kondo¹,

Dardik

Muto

et al. 2010

Surg Today

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“…In Tabelle 3 sind die Offenheitsraten aus Metaanalysen der interventionellen und gefäßchirurgischen Therapie aufgeführt, wobei es sich nicht um randomisierte oder kontrollierte Studien handelt [62][63][64][65][66][67][68][69][70][71][72]. Trotzdem bietet diese Zusammenstellung aktueller Studienergebnisse eine Grundlage für die individuelle Therapieempfehlung bei der Indikation zur Revaskularisation [73].…”

Section: Endovaskuläre Therapie Der Pavkunclassified

Angiologie

Lawall

Diehm

2008

Med Klin

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The management of vascular disease has become more and more important due to increasing evidence of the extent of peripheral arterial disease in the population and venous thromboembolism in nonsurgical patients. The treatment not only includes the therapy of the cardiovascular risk factors and the application of platelet inhibitors but also the use of new drugs and new endovascular devices. Up till now it is still unclear whether the interventional therapy of carotid stenoses and the endovascular application of stent grafts in abdominal aortic aneurysm are superior to surgery. If the indication is given, hemodynamic renal artery stenoses should be treated by interventional procedures. The effect of medical prophylaxis of venous thromboembolism in nonsurgical patients is evident and proven by large studies. New anticoagulants enlarge the therapy of prophylaxis and treatment of venous thromboembolism.

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Long-Term Results of Stenting for Chronic Iliac Artery Occlusion

Abstract: Stenting of chronic iliac occlusions is a safe and durable alternative to surgical treatment.

Cited by 41 publications

References 39 publications

Percutaneous laser-assisted recanalization of long chronic iliac artery occlusions: primary and mid-term results

Percutaneous laser-assisted recanalization of long chronic iliac artery occlusions: primary and mid-term results

Primary stent placement for iliac artery chronic total occlusions

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