Abstract
To evaluate the safety and effectiveness of low-profile 4-F stents for the treatment of atherosclerotic iliac artery lesions. Between January 2009 and December 2015, 63 patients (mean age 69.3 years; 42 men) received low-profile stents (Astron Pulsar or Pulsar-18) at the discretion of the operator to treat iliac artery occlusive disease. The majority of patients (40, 63.5%) had critical limb ischemia; 36 of 82 lesions were total occlusions. All procedures were performed with 4-F equipment. Outcomes evaluated included mortality, patency (primary, assisted primary, and secondary), absence of target lesion revascularization (TLR), and limb salvage. Associations of patient and procedure variables with patency and TLR outcomes were sought with univariate and multivariate analysis. Via a brachial (n=46/63) or femoral (n=17/63) access, 82 stents were successfully deployed to treat the 82 lesions, with <30% residual stenosis. The overall access-related complication rate was 1.6% (brachial artery occlusion). Mean duration of follow-up was 24.1±22.3 months (range 1-72), during which 3 patients died and 1 major amputation occurred at 10 months. The 4-year Kaplan-Meier estimate of primary patency was 76.9% (95% CI 70.2% to 83.6%); the assi...Continue Reading
References
Oct 1, 1995·Radiology·M HenryN Touchot
May 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·J F DyetJ Beard
Jul 1, 1997·Radiology·J L Bosch, M G Hunink
Apr 17, 1998·The New England Journal of Medicine·K OurielA A Sasahara
Feb 5, 2000·Cardiovascular and Interventional Radiology·J F DyetA A Nicholson
Jun 2, 2000·Journal of Vascular and Interventional Radiology : JVIR·S H DudaC D Claussen
Sep 5, 2001·Journal of Vascular Surgery·C H TimaranM H Goldman
Aug 2, 2003·Journal of Vascular Surgery·Carlos H TimaranMitchell H Goldman
Apr 8, 2004·Radiology·Timothy P MurphyH Myra Kim
Jun 4, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ramin R SaketMichael D Dake
Sep 14, 2004·Journal of Vascular and Interventional Radiology : JVIR·Donald PonecUNKNOWN CRISP Study Investigators
Feb 1, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Wolfgang MlekuschMartin Schillinger
May 30, 2006·Annals of Vascular Surgery·Toshifumi KudoSamuel S Ahn
Jul 27, 2006·Journal of Vascular and Interventional Radiology : JVIR·Peter D Ballyk
Jan 16, 2007·Journal of Vascular Surgery·L NorgrenUNKNOWN TASC II Working Group
Oct 2, 2007·Journal of Vascular Surgery·Ali F AbuRahmaWilliam Peery
Sep 23, 2008·Journal of Vascular Surgery·Vikram S KashyapDaniel G Clair
Jun 2, 2009·Journal of Vascular Surgery·Philip P GoodneyRobert M Zwolak
Aug 10, 2010·Journal of Vascular Surgery·Jeffrey E IndesJulie A Sosa
Oct 12, 2010·Journal of Vascular Surgery·Raffaele PulliCarlo Pratesi
Jan 11, 2011·Journal of Vascular Surgery·Shigeo IchihashiKimihiko Kichikawa
May 26, 2011·Journal of Vascular Surgery·Wei YeJingmei Jiang
Aug 30, 2011·European Heart Journal·UNKNOWN European Stroke OrganisationUNKNOWN ESC Committee for Practice Guidelines
Jul 12, 2013·The British Journal of Surgery·S D GoodeUNKNOWN STAG trial collaborators
Dec 12, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Marc BosiersPatrick Peeters
Jun 11, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Michael LichtenbergGuenther Wittenberg
Aug 5, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·UNKNOWN TASC Steering CommitteeLars Norgren