The Use of Vascular Stents in the Treatment of Iliac Artery Occlusion

Walraven, Laurens A. van; Andhyiswara, Ted; Linden, Toine N. van der; Yo, T.I.

doi:10.1007/s005470000040

Cited by 8 publications

(2 citation statements)

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“…Symptomatic embolization, flow-limiting dissection causing acute occlusion, or vessel rupture were generally infrequent (Ͻ5%). 25 van Walraven et al 26 used vascular stents in 25 patients with iliac artery occlusion. Complete recanalization and selective stent placement was possible in all patients without complications.…”

Section: Iliac Artery Occlusionsmentioning

confidence: 99%

An Update on Endovascular Therapy of the Lower Extremities

Bates

AbuRahma

2004

J Endovasc Ther

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ࡗ ࡗConsiderable advances have been made over the last decade in percutaneous technology for treatment of atherosclerotic diseases in the iliac, femoropopliteal, and distal tibioperoneal arteries. While treatment strategies are well defined in the iliofemoral segment, where angioplasty and stenting perform well in appropriately selected lesions, the search for a durable transcatheter therapy for femoropopliteal and distal occlusive disease continues. The spectrum of treatment alternatives to angioplasty ranges from transcatheter plaque excision to laser ablation, rotational atherectomy, cryoplasty, brachytherapy, and stenting. We review in this article the status of percutaneous endovascular techniques for the treatment of lower extremity vascular occlusive disease.

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Section: Iliac Artery Occlusionsmentioning

confidence: 99%

An Update on Endovascular Therapy of the Lower Extremities

Bates

AbuRahma

2004

J Endovasc Ther

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“…Advancements in endovascular technology and technique have enabled endovascular revascularization of chronically occluded vessels such as subclavian, coronary and iliac arteries [1][2][3] . More recently, a few reports demonstrated successful recanalization of chronically occluded carotid arteries with acceptable feasibility and safety [4][5][6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Wire-Probing Technique to Revascularize Subacute or Chronic Internal Carotid Artery Occlusion

Namba

Shojima²,

Nemoto

2012

Interv Neuroradiol

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During endovascular revascularization of subacute and chronic occlusion of the cervical internal carotid artery (ICA) it may be difficult to penetrate the lesion. Selecting the appropriate “true lumen”, a remnant of what had been the arterial lumen, at the initial step may facilitate the procedure. Because plaque at the carotid bifurcation is known to propagate from the posterior wall, a gateway to this “true lumen” should exist in the anterior side of the occluded stump. This hypothesis was studied retrospectively in our series of revascularizing ICA subacute and chronic occlusion. Eleven patients underwent endovascular revascularization for symptomatic cervical ICA occlusion. Procedures were performed by initially penetrating the occluded stump with a guidewire, followed by supporting catheter advancement through the occluded segment to secure the distal normal arterial lumen. Cases were analyzed with regard to the location of initial guidewire penetration. Eight patients underwent successful revascularization. In five cases, the entry point to the occluded stump was located at the anterior side, and in three, at the posterior side. Two posterior stump penetration cases were met with resistance in guidewire advancement, whereas penetration was smooth in the anterior cases. In addition, two posterior stump penetration cases resulted in contrast stasis in the posterior ICA wall. In our series of revascularizing cervical ICA subacute and chronic occlusion, initially targeting the anterior side of the occluded stump resulted in favorable results. This may be the result of selecting the “true lumen” at the beginning of the procedure.

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