TY - JOUR
T1 - Endovascular therapy of iliac arteries
T2 - Routine application of intraluminal stents does not improve clinical patency
AU - Cambria, Robert A.
AU - Farooq, Michael M.
AU - Mewissen, Mark W.
AU - Freischlag, Julie A.
AU - Seabrook, Gary R.
AU - Crain, Martin R.
AU - Goldblatt, Matthew I.
AU - Paz-Fumagalli, Ricardo
AU - Towne, Jonathan B.
PY - 1999
Y1 - 1999
N2 - 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 lilac 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 lilac arteries, and the selective insertion of these devices for more complicated angioplasty procedures seems warranted.
AB - 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 lilac 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 lilac arteries, and the selective insertion of these devices for more complicated angioplasty procedures seems warranted.
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U2 - 10.1007/s100169900306
DO - 10.1007/s100169900306
M3 - Article
C2 - 10541614
AN - SCOPUS:0032738984
SN - 0890-5096
VL - 13
SP - 599
EP - 605
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
IS - 6
ER -