Primary stent placement for recanalization of iliac artery occlusions: Using a self-expanding spiral stent

Kim, Jae-Kyu; Kim, Yun‐Hyeon; Chung, S C; Kang, Hyejung

doi:10.1007/s002709900388

Cited by 11 publications

(8 citation statements)

References 30 publications

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“…On the other hand, Kim et al [15] reported a series of 34 patients presenting with 36 occlusions (mean length 6.92 cm). All lesions were treated with primary stent placement using a self-expanding spiral stent.…”

Section: Discussionmentioning

confidence: 96%

Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions

et al. 2005

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We report the primary and long-term outcome of patients with selected TransAtlantic Inter-Society Consensus (TASC) C or D lesions of the iliac arteries after percutaneous interventional reconstruction. Between 1999 and 2001, 89 patients with peripheral arterial disease categorized as TASC C (n=37) and D (n=52) underwent percutaneous interventional reconstruction and stent implantation. Patients were followed for 1-62 months (mean 36 months). Patency rates were assessed by Duplex ultrasound and ankle-brachial index (ABI) measurement. The primary technical success rate was 96.9% with an overall complication rate of 5.6%. The ABI improved from an average of 0.51+/-0.15 before intervention to 0.79+/-0.16 on the day following intervention and to 0.81+/-0.17 within 3 years after intervention. Clinical improvement was observed in 97.3% of the patients in the TASC C group and in 88.5% in the TASC D group. Eighty of 89 patients (89.9%) remained patent at 3-year follow-up. In five patients the reintervention was successful. The secondary patency rate was 95.5%. The patency rates were similar in our selected TASC C and D patients to those so far published for TASC A and B, with low complication rates. Therefore, percutaneous intervention can be recommended for these patients.

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Section: Discussionmentioning

confidence: 96%

Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions

et al. 2005

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“…A little more than half of the lesions (40, 53%) were between 5 and 10 cm long, while a third (27, 35%) were Ͻ5 cm, and 9 (12%) were Ͼ10 cm in length. The median lesion length was 7 cm (range [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. The reference diameter of the occluded artery was estimated from the diameter of an adjacent or contralaterally patent vascular segment.…”

Section: Patient Populationmentioning

confidence: 99%

“…For total iliac occlusions, a lower risk of distal embolization has been reported when stents are used for primary treatment compared to simple balloon angioplasty. 4 Although there are numerous reports of successful stenting for chronic iliac occlusion, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] only a few studies present their longterm data analyzed on an ''intention-to-treat'' basis. 5,9,16,18 The aim of this retrospective study was to evaluate our results of primary iliac stenting for occlusive lesions in a patient cohort with a Ͼ2-year median follow-up.…”

mentioning

confidence: 99%

Long-Term Results of Stenting for Chronic Iliac Artery Occlusion

Uher¹,

Nyman²,

Lindh³

et al. 2002

J Endovasc Ther

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“…In some studies courses of long-term anticoagulants were not started routinely [21,25]. ASA was applied by several authors in various dosages (range 100-500 mg daily) in combination with either 250 mg ticlopidine on a lifetime basis, 225 mg dipyridamole for 3-6 months or 250 mg ticlopidine for 3 months [1,15,24]. Funovics et al [17] changed their postinterventional medication regimen from 100 mg ASA daily on a lifetime basis to 75 mg clopidogrel daily later in their study.…”

Section: Discussionmentioning

confidence: 97%

“…Kim et al [24] reported a series of 34 patients presenting with 36 occlusions (mean length 6.92 cm). All lesions were treated with primary stent placement using a self-expanding spiral stent.…”

Section: Discussionmentioning

confidence: 98%

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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Primary stent placement for recanalization of iliac artery occlusions: Using a self-expanding spiral stent

Abstract: A self-expanding spiral stent is a safe and effective device for recanalization of an iliac artery occlusion as the primary stent without any previous intervention.

Cited by 11 publications

References 30 publications

Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions

Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions

Long-Term Results of Stenting for Chronic Iliac Artery Occlusion

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

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