Comparative Results of Angioplasty and Aortofemoral Bypass in Patients With Symptomatic Iliac Disease

Kwasnik, Edward M.; Siouffi, Samer Y.; Jay, Michael E.; Khuri, Shukri F.

doi:10.1001/archsurg.1987.01400150042007

Cited by 18 publications

(2 citation statements)

References 10 publications

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“…To avoid this complication we performed the initial passage of the iliac occlusion by a crossover technique. Using this technique we were successful in initially passing the lesion with a guidewire in 76% of the occlusions, which compares to the results reported earlier (5, 14, 20, 27).…”

Section: Discussionsupporting

confidence: 75%

Stent placement in short unilateral iliac occlusion. . Technique and 24-month results

Hj¹,

Werk²,

Wissgott³

et al. 2001

Acta Radiol

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Purpose: To determine the success rate and 24‐month follow‐up results of primary stent implantation for reconstruction of unilateral short iliac occlusion involving the aortic bifurcation. Material and Methods: In 90 patients attempts of percutaneous transluminal recanalization of a short unilateral occlusion of the iliac arteries were performed. In 72/90 patients, the treatment was successful. Stent implantation was performed after recanalization in all 72 patients. Pre‐interventional angiography of successfully treated patients showed unilateral occlusions and contralateral stenosis in 34/72 patients. In 38/72 patients unilateral occlusion without contralateral stenosis was diagnosed. The recanalization of the common iliac artery obstructions were performed with a guidewire and excimer laser angioplasty. Totally 152 stents were used for the treatment of iliac occlusion. Standardized treadmill testing and color‐coded Doppler ultrasound were performed before treatment and during the follow‐up. Results: In all patients, stents were placed successfully; 5 major and 7 minor complications were observed. A clinical improvement of +2 to +3 according to the American Heart Association criteria was observed in 62 and 10 patients, respectively. Angiographic control was performed after 1–30 months. The primary angiographic patency rate was 83.1%. Angiography revealed significant restenoses in 4 patients successfully treated with transluminal angioplasty, and re‐occlusion in 6 patients which were referred to surgery. The patency rate after 24 months was 90.0%. Conclusion: Primary stent implantation is an effective treatment for short iliac obstructions and represents a true endovascular alternative to surgery.

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Section: Discussionsupporting

confidence: 75%

Stent placement in short unilateral iliac occlusion. . Technique and 24-month results

Hj¹,

Werk²,

Wissgott³

et al. 2001

Acta Radiol

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“…It has a high rate of technical success, long-term patency, and a low complication rate, especially in focal segmental disease [1][2][3][4]. The ultimate success of the iliac artery PTA is determined by clinical outcome, but the initial angiographic success is determined by the postprocedure angiographic appearance and intra-arterial pressure gradients across the lesion [5].…”

Section: Introductionmentioning

confidence: 99%

Erroneous pressure measurement due to artificially deformed vessel during angioplasty

Ahn

Trost

Sos

1997

Cathet. Cardiovasc. Diagn.

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Surveillance for Recurrent Stenosis After Endovascular Procedures

Miller

Sharp²,

Shamma³

et al. 1991

Arch Surg

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Eighty-nine endovascular procedures were performed during a 1-year period. Techniques included balloon angioplasty (n = 50), laser-assisted balloon angioplasty (n = 32), and atherectomy (n = 7). Indications were claudication (65.2%), critical ischemia (30.3%), and failing bypass (4.5%). Preoperative evaluation included a history and physical examination, segmental limb pressures, and color duplex ultrasonography. Postoperative surveillance consisted of a history and physical examination, ankle-arm indexes, and color duplex examinations at 1-week, 1-month, and then 3-month intervals. All levels of aortoiliac and infrainguinal disease were treated. Immediate technical success rate was 89.8%. Recurrence rates by life-table analysis reveal a 9-month patency rate of 45.4%. Early results of this prospective study indicate that endovascular procedures are subject to significant restenosis rates. Restraint is advised concerning general acceptance of endovascular procedures pending critical study.

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Comparative Results of Angioplasty and Aortofemoral Bypass in Patients With Symptomatic Iliac Disease

Cited by 18 publications

References 10 publications

Stent placement in short unilateral iliac occlusion. . Technique and 24-month results

Stent placement in short unilateral iliac occlusion. . Technique and 24-month results

Erroneous pressure measurement due to artificially deformed vessel during angioplasty

Surveillance for Recurrent Stenosis After Endovascular Procedures

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