A systematic review of endovascular treatment of extensive aortoiliac occlusive disease

Jongkind, Vincent; Akkersdijk, G. J. M.; Yeung, Kak K.; Wisselink, Willem

doi:10.1016/j.jvs.2010.04.080

Cited by 248 publications

(195 citation statements)

References 44 publications

(137 reference statements)

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“…The stent data for more complex lesions such as TASC C/D and other CTO lesions are also encouraging (Table II) [14,18,19,22,24]. According to two recent meta-analyses [18,19], immediate technical success rates for aorto-iliac intervention exceed 90%, with 4-5 year primary patency rates of 60-86%, secondary patency rates of 80-98%, and limb salvage rates of 98%.…”

Section: Angioplasty and Stentingmentioning

confidence: 98%

“…The technique or device used depends both on lesion characteristics and physician experience. Using multiple techniques, the overall success rate of crossing even complex (TASC C and D) lesions is expected to be 85-95% for experienced operators [14,18,19].…”

Section: Crossing the Lesion(s)mentioning

confidence: 99%

“…According to two recent meta-analyses [18,19], immediate technical success rates for aorto-iliac intervention exceed 90%, with 4-5 year primary patency rates of 60-86%, secondary patency rates of 80-98%, and limb salvage rates of 98%. The STAG trial compared primary stenting with percutaneous transluminal angioplasty for iliac occlusion and showed stents improved technical success and major procedural complication rates, but no statistical difference was noted between groups at 1 or 2 years in primary or secondary patency [22].…”

Section: Angioplasty and Stentingmentioning

confidence: 99%

“…In a systemic review of endovascular interventions in 1,711 patients with extensive aorto-iliac disease, Jongkind et al found an incidence of 0.5 to 3% for iliac perforation [18]. Perforation may be due to guidewire manipulation or device-mediated rupture (e.g., balloon inflation, stent deployment, extravascular CTO reentry device advancement).…”

Section: Complicationsmentioning

confidence: 99%

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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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Section: Angioplasty and Stentingmentioning

confidence: 98%

Section: Crossing the Lesion(s)mentioning

confidence: 99%

Section: Angioplasty and Stentingmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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

Klein

Feldman

Aronow

et al. 2014

Cathet Cardio Intervent

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“…Many studies have demonstrated that endovascular therapy for extensive aortoiliac occlusive disease shows better long-term patency and clinical outcomes [9][10][11]. The main strategy of endovascular therapy for this field has increasingly shifted to primary stenting [12][13][14].…”

Section: Aortic Stenosis and Aortic Occlusionmentioning

confidence: 99%

Angiography and Endovascular Therapy for Aortoiliac Artery Disease

Fukuda¹

2017

Angiography and Endovascular Therapy for Peripheral Artery Disease

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The treatment of aortoiliac occlusive disease has shifted to endovascular therapy. Even in complex lesion, precise angiography enables successful treatment in endovascular work. However, complications-related endovascular intervention of these lesions is catastrophic. Accurate angiographic assessment is mandatory to complete the procedure. This article reviews angiographic approach for aortoiliac artery disease in diagnosis, endovascular intervention, and complications.

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