Iliac artery stenoses after percutaneous transluminal angioplasty: Follow-up with duplex ultrasonography

Aim:The treatment of peripheral arterial disease has encompassed different therapy options. Hybrid therapy method (endovascular treatment plus surgery) has recently been used in lower extremity arterial disease. This study has examined hybrid therapy practice in iliac and infrainguinal arterial disease. Materials and Methods: This study included 76 patients with occlusive iliac artery disease and performed iliac artery endovascular treatment from January 2010 to August 2015. While 56 patients underwent only iliac artery stenting, 20 of 76 patients underwent additionally infrainguinal vascular surgery (hybrid therapy).Results: In 20 hybrid patients group, iliac artery lesion length was 31.0 ± 7.6 mm. Seven patients had TASC-II A iliac artery class, while 13 patients had TASC-II B class. According to femoropopliteal lesions, eight patients had TASC-II C, while 12 patients had TASC-II D. One patient died in postoperative period. Graft stenosis developed in one patient, which was resolved through catheter therapy. In the one-year follow-up, in one patient, iliac stent restenosis developed, ABI was 0.91 ± 0.20. Conclusion:Hybrid therapy is a feasible option for multilevel lower extremity artery disease, including iliac artery disease and TASC-II C or D femoropopliteal disease. This technique has favorable patency with lower complication rates.

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“…Patency of the iliac artery segment treated in the study was defined as a peak systolic velocity ratio of less than 2.5 at duplex ultrasound [6].…”

Section: Endovascular Treatmentmentioning

confidence: 99%

İliyak arter ve infrainguinal arter tıkayıcı hastalığında hybrid strateji

Sarıçam¹,

Sağlam²,

Beton³

et al. 2017

TURKISH JOURNAL of CLINICS and LABORATORY

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“…45 The value of ultrasound after balloon angioplasty may be influenced by the observation that some residual stenosis after percutaneous transluminal angioplasty resolves with time, a phenomenon not seen in stents. 46 Others identified ultrasound as a valuable tool in identifying residual percutaneous transluminal angioplasty stenosis and found it to be predictive of future restenosis and occlusion. 47 Ultrasound surveillance after stent implantation, on the other hand, allows identification of moderate-to high-grade restenosis at a stage when reintervention may maintain patency of the stent and prevent its occlusion.…”

Section: Duplex Arterial Ultrasoundmentioning

confidence: 99%

Management of Patients After Endovascular Interventions for Peripheral Artery Disease

Sobieszczyk

Eisenhauer

2013

Circulation

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“…Hemodynamic success was defined as an increase of the ABI of 0.10 or more during the whole follow-up period compared with the value at the pretreatment assessment. Patency of the (common or external) iliac artery segment initially treated in the DIST study was defined as a peak systolic velocity ratio of less than 2.5 at duplex US (8) during the whole follow-up period. Reintervention was defined as any surgical or endovascular intervention for PAD that involved the iliac artery segment that was treated in the DIST study.…”

Section: Definition Of Long-term Outcomementioning

confidence: 99%