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Titolo:
Stent placement in short unilateral iliac occlusion - Technique and 24-month results
Autore:
Steinkamp, H; Werk, M; Wissgott, C; Settmacher, U; Haufe, M; Hierholzer, C; Felix, R;
Indirizzi:
Humboldt Univ, Dept Radiol, Berlin, Germany Humboldt Univ Berlin Germany umboldt Univ, Dept Radiol, Berlin, Germany Humboldt Univ, Dept Surg, Charite Campus Virchow Klinikum, Berlin, GermanyHumboldt Univ Berlin Germany e Campus Virchow Klinikum, Berlin, Germany Dept Cardiol & Angiol, Hamburg, Germany Dept Cardiol & Angiol Hamburg Germany ardiol & Angiol, Hamburg, Germany Ernst Von Bergmann Clin Potsdam, Dept Radiol, Berlin, Germany Ernst Von Bergmann Clin Potsdam Berlin Germany Radiol, Berlin, Germany
Titolo Testata:
ACTA RADIOLOGICA
fascicolo: 5, volume: 42, anno: 2001,
pagine: 508 - 514
SICI:
0284-1851(200109)42:5<508:SPISUI>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; TRANS-LUMINAL ANGIOPLASTY; ARTERY OCCLUSIONS; FOLLOW-UP; PALMAZ STENT; BALLOON ANGIOPLASTY; RECANALIZATION; BIFURCATION; DISEASE;
Keywords:
aorta, angioplasty; claudication; peripheral vascular disease; stents;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Steinkamp, H Univ Clin Charite, Dept Radiol, Campus Virchow,AugustenburgerPl 1, DE-13353 Berlin, Germany Univ Clin Charite Campus Virchow,Augustenburger Pl 1 Berlin Germany DE-13353
Citazione:
H. Steinkamp et al., "Stent placement in short unilateral iliac occlusion - Technique and 24-month results", ACT RADIOL, 42(5), 2001, pp. 508-514

Abstract

Purpose: To determine the success rate and 24-month follow-up results of primary stent implantation for reconstruction of unilateral short iliac occlusion involving the aortic bifurcation. Material and Methods: In 90 patients attempts of percutaneous transluminalrecanalization of a short unilateral occlusion of the iliac arteries were performed. In 72/90 patients, the treatment was successful. Stent implantation was performed after recanalization in all 72 patients. Pre-interventional angiography of successfully treated patients showed unilateral occlusions and contralateral stenosis in 34/72 patients. In 38/72 patients unilateral occlusion without contralateral stenosis was diagnosed. The recanalization of the common iliac artery obstructions were performed with a guidewire and excimer laser angioplasty. Totally 152 stents were used for the treatment of iliac occlusion. Standardized treadmill testing and color-coded Doppler ultrasound were performed before treatment and during the follow-up. Results: In all patients, stents were placed successfully; 5 major and 7 minor complications were observed. A clinical improvement of + 2 to + 3 according to the American Heart Association criteria was observed in 62 and 10 patients, respectively. Angiographic control was performed after 1-30 months. The primary angiographic patency rate was 83.1%. Angiography revealed significant restenoses in 4 patients successfully treated with transluminal angioplasty, and re-occlusion in 6 patients which were referred to surgery. The patency rate after 24 months was 90.0%. Conclusion: Primary stent implantation is an effective treatment for shortiliac obstructions 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 02/12/20 alle ore 14:34:36