Primary stenting for aortic lesions: From single stenoses to total aortoiliac occlusions

Abstract

Primary stenting is feasible, safe, and effective for the whole spectrum of aortic occlusive disease. Especially for patients with infrarenal aortic stenoses, it is recommended as the first-line treatment and should be considered as a viable alternative to surgery for total aortoiliac occlusions.

Angiography and Endovascular Therapy for Aortoiliac Artery Disease

“…The main strategy of endovascular therapy for this field has increasingly shifted to primary stenting [12][13][14].…”

Percutaneous Interventions in Aortic Disease

“…However, there are no randomized data to support this assertion. A small series from Klonaris et al 21 hypothesized that the use of self-expanding stents would also trap any mural debris, thus preventing distal embolization. Additionally, the use of a covered stent would alleviate any concern about vessel wall rupture during the angioplasty process, which was seen in 2% of patients in prior studies.…”

Anjioplasti/Stentleme: Etki Mekanizmasi ve Temel Uygulamalar

“…Primer açıklık %70, sekonder açıklık %85 düzeyindedir [12]. Stent kullanımı özelikle kompleks, egzantrik, kalsifiye lezyonlarda embolik komplikasyonları azalt- Stentler balonla veya kendisi geniş-leyen tipte olabilir.…”

“…Stent kullanımı özelikle kompleks, egzantrik, kalsifiye lezyonlarda embolik komplikasyonları azalt- Stentler balonla veya kendisi geniş-leyen tipte olabilir. Aortik stent sonuçlarına baktığımızda primer açıklık %80-100 arasında sekonder açıklık %95'in üzerindedir [12]. Aortik bifurkasyon ve ana iliyak arter dü-zeyini birlikte içeren darlıklar özel yaklaşım gerektirir.…”