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Titolo:
Stent-supported reconstruction of the aortoiliac bifurcation with the kissing balloon technique
Autore:
Scheinert, D; Schroder, M; Balzer, JO; Steinkamp, H; Biamino, G;
Indirizzi:
Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Dept Med 2, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany Humboldt Univ, Dept Med, Berlin, Germany Humboldt Univ Berlin GermanyHumboldt Univ, Dept Med, Berlin, Germany Humboldt Univ, Dept Nephrol & Intens Care Med, Berlin, Germany Humboldt Univ Berlin Germany Nephrol & Intens Care Med, Berlin, Germany Humboldt Univ, Dept Radiol, Berlin, Germany Humboldt Univ Berlin Germany umboldt Univ, Dept Radiol, Berlin, Germany Ctr Cardiol & Vasc Intervent, Hamburg, Germany Ctr Cardiol & Vasc Intervent Hamburg Germany ntervent, Hamburg, Germany
Titolo Testata:
CIRCULATION
fascicolo: 19, volume: 100, anno: 1999, supplemento:, S
pagine: 295 - 300
SICI:
0009-7322(19991109)100:19<295:SROTAB>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
ILIAC ARTERY OCCLUSIONS; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; TRANS-LUMINAL ANGIOPLASTY; FOLLOW-UP; AORTIC BIFURCATION; ABDOMINAL-AORTA; PALMAZ STENT; PLACEMENT; DISEASE; RECANALIZATION;
Keywords:
angioplasty; aorta; claudication; peripheral vascular disease; stents;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Scheinert, D Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Dept Med 2, Osliche Stadtmauerstr 29, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Osliche Stadtmauerstr 29 Erlangen Germany D-91054
Citazione:
D. Scheinert et al., "Stent-supported reconstruction of the aortoiliac bifurcation with the kissing balloon technique", CIRCULATION, 100(19), 1999, pp. 295-300

Abstract

Background-Bilateral iliac artery obstructions involving the aortic bifurcation or high-grade stenosis of the abdominal aorta are not usually considered an indication for percutaneous treatment. The purpose of the present study was to evaluate the initial and long-term results of primary stent implantation for reconstruction of the aortic bifurcation. Methods and Results-In 48 patients with obstructions of the aortoiliac segment, primary stent implantation was performed with the "kissing balloon technique. " Preinterventional angiography showed bilateral stenoses (>85%) ofthe proximal common iliac arteries in 25 patients, unilateral occlusions and contralateral stenosis in 22 patients, and bilateral occlusion in 1 patient. In 7 cases, stents were placed for the treatment of high-grade infrarenal aortic stenoses. After excimer laser-assisted recanalization of the common iliac artery obstructions, the aortic bifurcation was reconstructed with the bilateral simultaneous implantation of Palmaz stents (diameter, 7 to 8 mm). Stents used for the treatment of aortic stenoses (Palmaz, n = 6; Gianturco, n = 1) had a diameter ranging from 20 to 25 mm. In all patients, stents were placed successfully (residual stenosis <30%) and without complications. A clinical improvement of +2 to +3 according to American Heart Association criteria was observed in 41 and 7 patients, respectively. Follow-up was performed clinically (standardized treadmill resting and color-coded Doppler ultrasound) and angiographically. The primary angiographic patency rate (24-month follow-up) was 86.8%. In 3 patients, angiography revealed significant restenoses, which were successfully treated with percutaneous transluminal angioplasty. Conclusions-Primary stent implantation with the kissing balloon technique is safe and effective for the treatment of aortoiliac obstructions involving the aortic bifurcation and represents a true endovascular alternative to surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 19:38:14