Stent implantation for acute iliac artery occlusions: initial experience

Journal of Vascular and Interventional Radiology : JVIR
Viktor BercziP A Gaines

Abstract

Treatment options for acute occlusion of the iliac arteries include surgical thrombectomy, surgical bypass, and endovascular interventions such as thrombolysis and mechanical thrombectomy with or without adjunctive angioplasty or stent implantation. Acute lesions are not usually treated by stent implantation for fear of distal embolism. The purpose of this study was to retrospectively review a single-center experience of primary iliac stent implantation for acute ischemia secondary to acute thrombosis. Between April 2004 and August 2005, seven patients (five men and two women; mean age, 69.9 y; range, 53-93 y) underwent iliac stent implantation for the acute onset (within 12 days before presentation) of ipsilateral ischemic symptoms. Diagnostic angiography revealed occlusion of the common and external iliac arteries (n = 3) or external iliac artery (n = 4). Patients with rest pain (n = 6) were treated with unfractionated heparin. All acute occlusions were traversed by the guide wire with relative ease. Recanalization with stent implantation was successful in all cases without distal embolization. Five patients showed noticeable clinical improvement. Two elderly patients with isolated patent profunda segments with no demonstrabl...Continue Reading

References

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Jan 15, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P A GainesT J Cleveland

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Citations

May 15, 2007·Cardiovascular and Interventional Radiology·Jowad RajaAnna-Maria Belli
Mar 1, 2007·Seminars in Interventional Radiology·Jacob S Ecanow, Brian T Schwartz
Nov 13, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C KimJ Choi
Aug 7, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jeffrey E IndesJulie Ann Sosa
Nov 9, 2016·Cardiovascular and Interventional Radiology·Nikolaos GalanakisDimitrios Tsetis
May 21, 2010·Vascular and Endovascular Surgery·Melhem J SharafuddinWilliam J Sharp
May 23, 2020·Therapeutic Advances in Cardiovascular Disease·Keisuke Fukuda, Yoshiaki Yokoi
Jun 2, 2018·Case Reports in Vascular Medicine·Konstantinos TigkiropoulosNikolaos Saratzis

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