PMID: 9551057Apr 29, 1998Paper

Early experience with stenting for iliac occlusive disease

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
G J ToogoodR B Galland

Abstract

To review our experience of iliac artery stenting for occlusive disease. Prospective study of 50 consecutive patients with iliac occlusive disease, November 1993-November 1996. The indications for stenting were complete iliac occlusion (37) restenosis (four), donor site inflow for bypass grafting (four) and difficult stenoses (> 90% and/or > 5 cm) (five). The majority of patients (41) presented with intermittent claudication. All 13 stenoses were successfully stented. One occluded but the rest remain patent. There were no other complications. By contrast, it was not possible to place a stent across 10 of the 37 complete iliac occlusions. In this group there were nine major complications, including five patients who required early embolectomy (four femoral, one brachial) and one patient who developed a false aneurysm at the site of the stent. The "intention to treat" primary cumulative patency for iliac occlusions was 65% at 2 years but after excluding technical failures was 88%. There is a sharp learning curve and significant complication rate associated with stenting complete occlusions. However, following successful stenting patency rates are around 90% for both iliac stenoses and occlusions.

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Citations

Feb 15, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G NewJ W Moses
Feb 7, 2008·Cardiovascular and Interventional Radiology·Greg RamjasSaid Habib
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Petr UherKrasnodar Ivancev
Nov 5, 2004·Journal of Vascular and Interventional Radiology : JVIR·Okka W HamerJohann Link
Jul 20, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S SahaR B Galland
Jul 25, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P J WhatlingR B Galland
Apr 2, 2002·The Journal of Surgical Research·Peter H LinAlan B Lumsden
Feb 22, 2012·Circulation·Alan T HirschUNKNOWN Council on Epidemiology and Prevention
Mar 27, 2007·Vascular·Albeir Y MousaRichard Fogler
Nov 4, 2000·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc· van Walraven LAT I Yo

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