Endovascular therapy of iliac arteries: routine application of intraluminal stents does not improve clinical patency. Ann Vasc Surg 1999 Nov;13(6):599-605
Date
12/14/1999Pubmed ID
10541614DOI
10.1007/s100169900306Scopus ID
2-s2.0-0032738984 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
Our objective in this study was to review our experience with endovascular therapy of iliac artery occlusive disease over the past decade, and to compare the results of angioplasty alone with the addition of endovascular stents to these procedures. This report details a retrospective analysis of clinical data on 141 consecutive patients with iliac artery occlusive disease, treated by balloon angioplasty alone, or with the addition of intraluminal stents. The procedures analyzed included 58 common iliac artery interventions (26 angioplasties and 32 stent insertions) and 83 external iliac artery procedures (43 angioplasties and 40 stent insertions). Early and continued success, and their components, are reported and compared according to published standards. While endovascular therapy of iliac artery occlusive disease is effective in relieving symptoms, clinical patency rates are lower than those reported for direct reconstruction. Primary stent placement has not enhanced clinical patency in the iliac arteries, and the selective insertion of these devices for more complicated angioplasty procedures seems warranted.
Author List
Cambria RA, Farooq MM, Mewissen MW, Freischlag JA, Seabrook GR, Crain MR, Goldblatt MI, Paz-Fumagalli R, Towne JBAuthor
Matthew I. Goldblatt MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Angioplasty, Balloon
Arterial Occlusive Diseases
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Iliac Artery
Life Tables
Male
Middle Aged
Stents
Treatment Failure
Vascular Patency
