Treatment of Chronic Iliac Artery Occlusions by Means of Percutaneous Endovascular Stent Placement

Dyet, J.F.; Gaines, Peter A.; Nicholson, Anthony A.; Cleveland, Trevor J.; Cook, A.M.; Wilkinson, A.R.; Galloway, J. M. D.; Beard, Jonathan

doi:10.1016/s1051-0443(97)70570-0

Cited by 64 publications

(32 citation statements)

References 11 publications

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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: Discussionsupporting

confidence: 48%

Primary stent placement for iliac artery chronic total occlusions

Kondo¹,

Dardik

Muto

et al. 2010

Surg Today

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Section: Discussionsupporting

confidence: 48%

Primary stent placement for iliac artery chronic total occlusions

Kondo¹,

Dardik

Muto

et al. 2010

Surg Today

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“…Failure rates for iliac and femoropopliteal CTO are 3% to 36% [25][26][27][28][29][30][31][32][33] and 12% to 25%, 34,35 respectively. Novel alternative devices and techniques have had varied success for coronary and peripheral artery CTO recanalization, although to date none have prevailed clinically.…”

Section: Discussionmentioning

confidence: 99%

Real-Time Magnetic Resonance Imaging–Guided Endovascular Recanalization of Chronic Total Arterial Occlusion in a Swine Model

et al. 2006

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Background-Endovascular recanalization (guidewire traversal) of peripheral artery chronic total occlusion (CTO) can be challenging. X-ray angiography resolves CTO poorly. Virtually "blind" device advancement during x-ray-guided interventions can lead to procedure failure, perforation, and hemorrhage. Alternatively, MRI may delineate the artery within the occluded segment to enhance procedural safety and success. We hypothesized that real-time MRI (rtMRI)-guided CTO recanalization can be accomplished in an animal model. Methods and Results-Carotid artery CTO was created by balloon injury in 19 lipid-overfed swine. After 6 to 8 weeks, 2 underwent direct necropsy analysis for histology, 3 underwent primary x-ray-guided CTO recanalization attempts, and the remaining 14 underwent rtMRI-guided recanalization attempts in a 1.5-T interventional MRI system. Real-time MRI intervention used custom CTO catheters and guidewires that incorporated MRI receiver antennae to enhance device visibility. The mean length of the occluded segments was 13.3Ϯ1.6 cm. The rtMRI-guided CTO recanalization was successful in 11 of 14 swine and in only 1 of 3 swine with the use of x-ray alone. After unsuccessful rtMRI (nϭ3), x-ray-guided attempts were also unsuccessful. Conclusions-Recanalization of long CTO is entirely feasible with the use of rtMRI guidance. Low-profile clinical-grade devices will be required to translate this experience to humans.

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“…DE may be treated with catheter aspiration, balloon inflation, stent placement, and occasionally, with surgical embolectomy. DE has been reported in most studies of iliac interventions; the incidence ranges from 0.4 to 9% [36][37][38][39][40].…”

Section: Complicationsmentioning

confidence: 99%

SCAI expert consensus statement for aorto‐iliac arterial intervention appropriate use

Klein

Feldman

Aronow

et al. 2014

Cathet Cardio Intervent

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Aorto‐iliac arterial occlusive disease is common and may cause a spectrum of chronic symptoms from intermittent claudication to critical limb ischemia. Treatment is indicated for symptoms that have failed lifestyle and medical therapies or occasionally to facilitate other interventional procedures such as TAVR and/or placement of hemodynamic assist devices. It is widely accepted that TASC A, B, and C lesions are best managed with endovascular intervention. In experienced hands, most TASC D lesions may be treated by endovascular methods, and with the development of chronic total occlusion devices, many aorto‐iliac occlusions may be recanalized safely by endovascular means. Interventional cardiologists should be well versed in the anatomy, as well as the treatment of aorto‐iliac disease, given their need to traverse these vessels during transfemoral procedures. Overall, aorto‐iliac occlusive disease is more commonly being treated with an endovascular‐first approach, using open surgery as a secondary option. This document was developed to guide physicians in the clinical decision‐making related to the contemporary application of endovascular intervention among patients with aorto‐iliac arterial disease. © 2014 Wiley Periodicals, Inc.

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Treatment of Chronic Iliac Artery Occlusions by Means of Percutaneous Endovascular Stent Placement

Cited by 64 publications

References 11 publications

Primary stent placement for iliac artery chronic total occlusions

Primary stent placement for iliac artery chronic total occlusions

Real-Time Magnetic Resonance Imaging–Guided Endovascular Recanalization of Chronic Total Arterial Occlusion in a Swine Model

SCAI expert consensus statement for aorto‐iliac arterial intervention appropriate use

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