Percutaneous endovascular treatment of chronic iliac artery occlusion
To evaluate the clinical and radiological long-term results of recanalization of chronic occluded iliac arteries with balloon angioplasty and stent placement. Sixty-nine occluded iliac arteries (mean length 8.1 cm; range 4-16 cm) in 67 patients were treated by percutaneous transluminal angioplasty a...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2004-09, Vol.27 (5), p.447-452 |
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| creator | Carnevale, F C De Blas, Mariano Merino, Santiago Egaña, Jose M Caldas, Jose G M P |
| description | To evaluate the clinical and radiological long-term results of recanalization of chronic occluded iliac arteries with balloon angioplasty and stent placement.
Sixty-nine occluded iliac arteries (mean length 8.1 cm; range 4-16 cm) in 67 patients were treated by percutaneous transluminal angioplasty and stent placement. Evaluations included clinical assessment according to Fontaine stages, Doppler examinations with ankle-brachial index (ABI) and bilateral lower extremity arteriograms. Wallstent and Cragg vascular stents were inserted for iliac artery recanalization under local anesthesia. Follow-up lasted 1-83 months (mean 29.5 months).
Technical success rate was 97.1% (67 of 69). The mean ABI increased from 0.46 to 0.85 within 30 days after treatment and was 0.83 at the most recent follow-up. Mean hospitalization time was 2 days and major complications included arterial thrombosis (3%), arterial rupture (3%) and distal embolization (1%). During follow-up 6% stenosis and 9% thrombosis of the stents were observed. Clinical improvement occurred in 92% of patients. Primary and secondary patency rates were 75% and 95%, respectively.
The long-term patency rates and clinical benefits suggest that percutaneous endovascular revascularization with metallic stents is a safe and effective treatment for patients with chronic iliac artery occlusion. |
| doi_str_mv | 10.1007/s00270-004-0086-5 |
| format | Article |
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Sixty-nine occluded iliac arteries (mean length 8.1 cm; range 4-16 cm) in 67 patients were treated by percutaneous transluminal angioplasty and stent placement. Evaluations included clinical assessment according to Fontaine stages, Doppler examinations with ankle-brachial index (ABI) and bilateral lower extremity arteriograms. Wallstent and Cragg vascular stents were inserted for iliac artery recanalization under local anesthesia. Follow-up lasted 1-83 months (mean 29.5 months).
Technical success rate was 97.1% (67 of 69). The mean ABI increased from 0.46 to 0.85 within 30 days after treatment and was 0.83 at the most recent follow-up. Mean hospitalization time was 2 days and major complications included arterial thrombosis (3%), arterial rupture (3%) and distal embolization (1%). During follow-up 6% stenosis and 9% thrombosis of the stents were observed. Clinical improvement occurred in 92% of patients. Primary and secondary patency rates were 75% and 95%, respectively.
The long-term patency rates and clinical benefits suggest that percutaneous endovascular revascularization with metallic stents is a safe and effective treatment for patients with chronic iliac artery occlusion.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-004-0086-5</identifier><identifier>PMID: 15184998</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Aged ; Aged, 80 and over ; ANESTHESIA ; Angioplasty ; Angioplasty, Balloon ; Arterial Occlusive Diseases - diagnostic imaging ; Arterial Occlusive Diseases - physiopathology ; Arterial Occlusive Diseases - therapy ; ARTERIES ; BIOMEDICAL RADIOGRAPHY ; Chronic Disease ; EVALUATION ; Female ; Femoral Artery - diagnostic imaging ; Follow-Up Studies ; Humans ; Iliac Artery - diagnostic imaging ; Iliac Artery - physiopathology ; Length of Stay ; Life Tables ; Male ; Middle Aged ; PATIENTS ; Radiography ; RADIOLOGY AND NUCLEAR MEDICINE ; Retrospective Studies ; Stents ; THROMBOSIS ; Treatment Outcome ; VASCULAR DISEASES ; Vascular Patency ; Veins & arteries</subject><ispartof>Cardiovascular and interventional radiology, 2004-09, Vol.27 (5), p.447-452</ispartof><rights>Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-c50555f9a6ac71325f4d0535bdaaf60181d0a4369e97e1bfbdd888c0c1b515093</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,781,785,886,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15184998$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21088205$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Carnevale, F C</creatorcontrib><creatorcontrib>De Blas, Mariano</creatorcontrib><creatorcontrib>Merino, Santiago</creatorcontrib><creatorcontrib>Egaña, Jose M</creatorcontrib><creatorcontrib>Caldas, Jose G M P</creatorcontrib><title>Percutaneous endovascular treatment of chronic iliac artery occlusion</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>To evaluate the clinical and radiological long-term results of recanalization of chronic occluded iliac arteries with balloon angioplasty and stent placement.
Sixty-nine occluded iliac arteries (mean length 8.1 cm; range 4-16 cm) in 67 patients were treated by percutaneous transluminal angioplasty and stent placement. Evaluations included clinical assessment according to Fontaine stages, Doppler examinations with ankle-brachial index (ABI) and bilateral lower extremity arteriograms. Wallstent and Cragg vascular stents were inserted for iliac artery recanalization under local anesthesia. Follow-up lasted 1-83 months (mean 29.5 months).
Technical success rate was 97.1% (67 of 69). The mean ABI increased from 0.46 to 0.85 within 30 days after treatment and was 0.83 at the most recent follow-up. Mean hospitalization time was 2 days and major complications included arterial thrombosis (3%), arterial rupture (3%) and distal embolization (1%). During follow-up 6% stenosis and 9% thrombosis of the stents were observed. Clinical improvement occurred in 92% of patients. Primary and secondary patency rates were 75% and 95%, respectively.
The long-term patency rates and clinical benefits suggest that percutaneous endovascular revascularization with metallic stents is a safe and effective treatment for patients with chronic iliac artery occlusion.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ANESTHESIA</subject><subject>Angioplasty</subject><subject>Angioplasty, Balloon</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Arterial Occlusive Diseases - therapy</subject><subject>ARTERIES</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Chronic Disease</subject><subject>EVALUATION</subject><subject>Female</subject><subject>Femoral Artery - diagnostic imaging</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Iliac Artery - diagnostic imaging</subject><subject>Iliac Artery - physiopathology</subject><subject>Length of Stay</subject><subject>Life Tables</subject><subject>Male</subject><subject>Middle Aged</subject><subject>PATIENTS</subject><subject>Radiography</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>THROMBOSIS</subject><subject>Treatment Outcome</subject><subject>VASCULAR DISEASES</subject><subject>Vascular Patency</subject><subject>Veins & arteries</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkU1r3DAQhkVoyG42-QG9FNNCbm5mLI8tHUtI0kKgOSSQm5DHMvHitVJJDuTf18YLhR6GYeCddz4eIT4jfEeA-joCFDXkAOUcqsrpRGyxlEU-Fy-fxBawLnMkwo04j3EPgKQKOhMbJFSl1morbh9d4CnZ0fkpZm5s_buNPA02ZCk4mw5uTJnvMn4Nfuw564fecmZDcuEj88zDFHs_XojTzg7RXR7zTjzf3T7d_Mwfft__uvnxkLOkIuVMQESdtpXlGmVBXdkCSWpaa7sKUGELtpSVdrp22HRN2yqlGBgbQgItd-Lb6utj6k3kPjl-ZT-OjpMpEJQqZr-duFpVb8H_mVxM5tBHdsOwXmmqSmmFGmbh1_-Eez-Fcb7A1LLQSpJcZuIq4uBjDK4zb6E_2PBhEMyCwawYzIzBLBjMssGXo_HUHFz7r-P4d_kXEimCGg</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Carnevale, F C</creator><creator>De Blas, Mariano</creator><creator>Merino, Santiago</creator><creator>Egaña, Jose M</creator><creator>Caldas, Jose G M P</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20040901</creationdate><title>Percutaneous endovascular treatment of chronic iliac artery occlusion</title><author>Carnevale, F C ; De Blas, Mariano ; Merino, Santiago ; Egaña, Jose M ; Caldas, Jose G M P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-c50555f9a6ac71325f4d0535bdaaf60181d0a4369e97e1bfbdd888c0c1b515093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ANESTHESIA</topic><topic>Angioplasty</topic><topic>Angioplasty, Balloon</topic><topic>Arterial Occlusive Diseases - diagnostic imaging</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Arterial Occlusive Diseases - therapy</topic><topic>ARTERIES</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Chronic Disease</topic><topic>EVALUATION</topic><topic>Female</topic><topic>Femoral Artery - diagnostic imaging</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Iliac Artery - diagnostic imaging</topic><topic>Iliac Artery - physiopathology</topic><topic>Length of Stay</topic><topic>Life Tables</topic><topic>Male</topic><topic>Middle Aged</topic><topic>PATIENTS</topic><topic>Radiography</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>THROMBOSIS</topic><topic>Treatment Outcome</topic><topic>VASCULAR DISEASES</topic><topic>Vascular Patency</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carnevale, F C</creatorcontrib><creatorcontrib>De Blas, Mariano</creatorcontrib><creatorcontrib>Merino, Santiago</creatorcontrib><creatorcontrib>Egaña, Jose M</creatorcontrib><creatorcontrib>Caldas, Jose G M P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carnevale, F C</au><au>De Blas, Mariano</au><au>Merino, Santiago</au><au>Egaña, Jose M</au><au>Caldas, Jose G M P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous endovascular treatment of chronic iliac artery occlusion</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>27</volume><issue>5</issue><spage>447</spage><epage>452</epage><pages>447-452</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>To evaluate the clinical and radiological long-term results of recanalization of chronic occluded iliac arteries with balloon angioplasty and stent placement.
Sixty-nine occluded iliac arteries (mean length 8.1 cm; range 4-16 cm) in 67 patients were treated by percutaneous transluminal angioplasty and stent placement. Evaluations included clinical assessment according to Fontaine stages, Doppler examinations with ankle-brachial index (ABI) and bilateral lower extremity arteriograms. Wallstent and Cragg vascular stents were inserted for iliac artery recanalization under local anesthesia. Follow-up lasted 1-83 months (mean 29.5 months).
Technical success rate was 97.1% (67 of 69). The mean ABI increased from 0.46 to 0.85 within 30 days after treatment and was 0.83 at the most recent follow-up. Mean hospitalization time was 2 days and major complications included arterial thrombosis (3%), arterial rupture (3%) and distal embolization (1%). During follow-up 6% stenosis and 9% thrombosis of the stents were observed. Clinical improvement occurred in 92% of patients. Primary and secondary patency rates were 75% and 95%, respectively.
The long-term patency rates and clinical benefits suggest that percutaneous endovascular revascularization with metallic stents is a safe and effective treatment for patients with chronic iliac artery occlusion.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15184998</pmid><doi>10.1007/s00270-004-0086-5</doi><tpages>6</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2004-09, Vol.27 (5), p.447-452 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Aged, 80 and over ANESTHESIA Angioplasty Angioplasty, Balloon Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - therapy ARTERIES BIOMEDICAL RADIOGRAPHY Chronic Disease EVALUATION Female Femoral Artery - diagnostic imaging Follow-Up Studies Humans Iliac Artery - diagnostic imaging Iliac Artery - physiopathology Length of Stay Life Tables Male Middle Aged PATIENTS Radiography RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies Stents THROMBOSIS Treatment Outcome VASCULAR DISEASES Vascular Patency Veins & arteries |
| title | Percutaneous endovascular treatment of chronic iliac artery occlusion |
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