Long-term Results After Recanalisation of Chronic Iliac Artery Occlusions by Combined Catheter Therapy Without Stent Placement

Abstract

recanalisation of segmental chronic iliac artery occlusions by catheter therapy without stent placement has favourable long-term results comparable to primary stent placement. Randomised controlled studies are required to determine the appropriate role of catheter therapy alone and primary or selective stenting for iliac artery occlusions.

Long-term Cardiovascular Morbidity, Mortality, and Reintervention after Endovascular Treatment in Patients with Iliac Artery Disease: The Dutch Iliac Stent Trial Study

“…This means that when stent placement, which is frequently considered easier and faster to perform than PTA followed by pressure measurement (which still leads to stent placement in 43% of patients, as found in the DIST study [13]), is used more liberally it does not seem to harm the patient either. The number of iliac reinterventions performed in this study after more than 5 years (18% in group 1 and 20% in group 2) seems to be well in line with the results of other studies (5,8,9,11,25,(27)(28)(29)(30)(31). Schurmann et al (30) retrospectively investigated 110 patients who underwent iliac stent placement and found a 28% rate of reintervention, but this was over a 10-year period.…”

Endovascular therapy for long-segment atherosclerotic aortoiliac occlusion

“…5 Similar with other series, poor arterial runoff may be associated with a higher risk of in-stent restenosis. 25,26 None of the three patients underwent further endovascular treatment because they experienced only a little physical compromise, and all had survived at the last follow-up.…”

Outcomes of endovascular treatment of chronic total occlusion of the infrarenal aorta

“…Several studies on endovascular therapy of totally occluded iliac arteries also demonstrated that the main procedurally related complications were embolic events, occurring with a prevalence of 4% to 24%, depending on the occlusion length. [30][31][32][33] In this respect, intra-arterial catheter-directed thrombolytic therapy may be helpful in preventing and treating thromboembolism. In the present study, thrombolytic agents were administered in 42.8% of the patients, and two of four patients with acute distal embolization were treated successfully with thrombolytic therapy.…”