Long-term outcomes for systematic primary stent placement in complex iliac artery occlusive disease classified according to Trans-Atlantic Inter-Society Consensus (TASC)-II
Abstract:Primary stent placement for complex iliac artery occlusive disease provides acceptable long-term outcomes, although the procedure takes relatively longer and is associated with a higher frequency of complications than for simple disease.
“…A low success rate of recanalization for occlusion in a long lesion has been reported previously, but the success rate has also recently increased due to improvement of therapeutic devices. 2, 13 The success rate of EVT for TASCII CD lesions is 89.8-95%, 14 which is similar in the present study (92.8%). In addition, the endovascular mortality was 0.3% and the 30-day mortality was 0.7% in the present study.…”
“…A low success rate of recanalization for occlusion in a long lesion has been reported previously, but the success rate has also recently increased due to improvement of therapeutic devices. 2, 13 The success rate of EVT for TASCII CD lesions is 89.8-95%, 14 which is similar in the present study (92.8%). In addition, the endovascular mortality was 0.3% and the 30-day mortality was 0.7% in the present study.…”
“…In the present study, distal embolization following stent implantation was detected in four patients (7.4%). Other authors have reported distal embolization range to be from 2% to 13% [24][25][26].…”
The localization of a stent in both iliac (CIA and EIA) arteries and poor runoff significantly reduce the primary stent patency. Patients with stents >61mm have a higher risk of stent thrombosis or in-stent restenosis development.
“…Iliac artery stenting is a robust tool, with good short-and longterm patency rates, in managing aortoiliac PAOD. 16,17 Both PTA and stenting can be performed via a retrograde ipsilateral common femoral artery puncture or via a retrograde contralateral common femoral artery puncture.…”
Section: Endovascular Procedures In the Aortoiliac Regionmentioning
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