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CardioVascular and Interventional Radiology

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01-02-2013 | Clinical Investigation

Endovascular Treatment of Infrarenal Abdominal Aortic Lesions With or Without Common Iliac Artery Involvement

Authors: Hakan Önder, Levent Oğuzkurt, Serkan Gür, Güven Tekbaş, Kamil Gürel, İsa Coşkun, Uğur Özkan

Published in: CardioVascular and Interventional Radiology | Issue 1/2013

Abstract

Purpose

To evaluate the results of stent placement for obstructive atherosclerotic aortic disease with or without involvement of the common iliac artery.

Materials and Methods

Forty patients had self-expanding stents primarily or after balloon dilatation in the abdominal aorta between January 2005 and May 2011. All patients had trouble walking. Follow-up examinations were performed with clinical visits; these included color Doppler ultrasonography and computed tomographic angiography.

Results

Technical, clinical, and hemodynamic success was achieved in all patients. None of the patients underwent reintervention during the follow-up period, which ranged from 3 months to 6 years (median 24 months). Nine complications occurred in six patients. Of the nine complications, four were distal thromboembolisms, which were successfully treated with catheter-directed thrombolysis or anticoagulation therapy.

Conclusion

Endovascular treatment of the obstructive aortic disease using self-expanding stents was safe and effective, with high technical success and long-term patency. Thromboembolic complications were high even though direct stenting was considered protective for thromboembolism formation. Particularly for infrarenal aortic stenosis, it can be recommended as the first-line treatment option for patients with obstructive atherosclerotic aortic disease.

DeBakey ME, Lawrie GM, Glaeser DH (1985) Patterns of atherosclerosis and their surgical significance. Ann Surg 201:115PubMedCrossRef

Crawford ES, Bomberger RA, Galeser DH et al (1981) Aortoiliac occlusive disease: factors influencing survival and function following reconstructive operation over a twenty-five year period. Surgery 90:1055–1067PubMed

Staple TW (1968) The solitary aortoiliac lesion. Surgery 64:569–576PubMed

Szilagyi DE, Elliott JP Jr, Smith RF et al (1986) A thirty-year survey of the reconstructive surgical treatment of aortoiliac occlusive disease. J Vasc Surg 3:421–436PubMed

Tegtmeyer CJ, Kellum CD, Kron IL et al (1985) Percutaneous transluminal angioplasty in the region of the aortic bifurcation. The two balloon technique with results and long-term follow-up study. Radiology 157:661–665PubMed

Dietrich EB, Santiago O, Gustafson G et al (1993) Preliminary observations on the use of the Palmaz stent in the distal portion of the abdominal aorta. Am Heart J 125:490–501CrossRef

Yılmaz S, Sindel T, Yegin A et al (2004) Primary stenting of focal atherosclerotic infrarenal aortic stenoses: long-term results in 13 patients and a literature review. Cardiovasc Intervent Radiol 27:121–128PubMedCrossRef

Stoeckelhuber BM, Stoeckelhuber M, Gellissen J et al (2006) Primary endovascular stent placement for focal infrarenal aortic stenosis: long-term results. J Vasc Interv Radiol 17:1105–1109PubMedCrossRef

de Vries JP, van Den Heuvel DA, Vos JA et al (2004) Freedom from secondary interventions to treat stenotic disease after percutaneous transluminal angioplasty of infrarenal aorta: long-term results. J Vasc Surg 39:427–431PubMedCrossRef

10.

Inahara T (1975) Evaluation of endarterectomy for aortoiliac and aortoiliofemoral occlusive disease. Arch Surg 110:1458–1464PubMedCrossRef

11.

Brewster DC (1991) Clinical and anatomical considerations for surgery in aortoiliac disease and results of surgical treatment. Circulation 83:142–152

12.

Valentine RJ, Hagino RT, Jackson MR et al (1998) Gastrointestinal complications after aortic surgery. J Vasc Surg 28:404–411PubMedCrossRef

13.

Miles JR Jr, Miles DG, Johnson G Jr (1982) Aortoiliac operations and sexual dysfunction. Arch Surg 117:1177–1181PubMedCrossRef

14.

Grollman JH Jr, Del Vicario M, Mittal AK (1980) Percutaneous transluminal abdominal aortic angioplasty. AJR Am J Roentgenol 134:1053–1054PubMed

15.

Velasquez G, Castaneda-Zuniga W, Formanek A et al (1980) Nonsurgical aortoplasty in Leriche syndrome. Radiology 134:359–360PubMed

16.

Tegtmeyer CJ, Wellons HA, Thompson RN (1980) Balloon dilation of the abdominal aorta. JAMA 244:2636–2637PubMedCrossRef

17.

Odurny A, Colapinto RF, Sniderman KW et al (1989) Percutaneous transluminal angioplasty of abdominal aortic stenoses. Cardiovasc Intervent Radiol 12:1–6PubMedCrossRef

18.

Poncyljusz W, Falkowski A, Garncarek J et al (2006) Primary stenting in the treatment of focal atherosclerotic abdominal aortic stenoses. Clin Radiol 61:691–695PubMedCrossRef

19.

Long AL, Gaux JC, Raynaud AC et al (1993) Infrarenal aortic stents: initial clinical experience and angiographic follow-up. Cardiovasc Intervent Radiol 16:203–208PubMedCrossRef

20.

Karkos CD, D’Souza SP, Hughes R (2000) Primary stenting for chronic total occlusion of the infrarenal aorta. J Endovasc Ther 7:340–344PubMedCrossRef

21.

Wescott MA, Bonn J (1998) Comparison of conventional angioplasty with the Palmaz stent in the treatment of abdominal aortic stenosis from the STAR registry. J Vasc Interv Radiol 9:225–231CrossRef

22.

Schedel H, Wissgott C, Rademaker J et al (2004) Primary stent placement for infrarenal aortic stenosis: immediate and midterm results. J Vasc Interv Radiol 15:353–359PubMedCrossRef

Title: Endovascular Treatment of Infrarenal Abdominal Aortic Lesions With or Without Common Iliac Artery Involvement
Authors: Hakan Önder
Levent Oğuzkurt
Serkan Gür
Güven Tekbaş
Kamil Gürel
İsa Coşkun
Uğur Özkan
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 1/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-012-0357-5

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Springer Medicine

Endovascular Treatment of Infrarenal Abdominal Aortic Lesions With or Without Common Iliac Artery Involvement

Abstract

Purpose

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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