Flexible tantalum stents for the treatment of iliac artery lesions: long-term patency, complications, and risk factors.

Abstract:

PURPOSE:To evaluate the long-term success of tantalum stents implanted in iliac artery lesions and to determine potential predictive factors of early and late stent failure. MATERIALS AND METHODS:In 289 patients, flexible tantalum stents were implanted in iliac artery stenoses (n - 223) or occlusions (n - 66). Early and late stent failures were evaluated at 1-79 months (mean, 23 months). Four risk factors were evaluated: lesion type (occlusion vs stenosis), lesion location (common vs external iliac artery), lesion length (< 4 vs > 4 cm), and quality of runoff (good vs poor). RESULTS:The frequency of early stent thrombosis was significantly (P < .001) higher in occlusions (15.2%) versus stenoses (2.7%), in external (12.8%) versus common (1.1%) iliac arteries, in long (16.7%) versus short (0.5%) lesions, and in poor (14.0%) versus good (2.1%) runoff. At multivariate analysis, runoff and location were influencing factors. Primary patency rates at 3 and 5 years were 85% and 70%, respectively, for all stents. Three-year patency rates were significantly higher in short (88%) versus long (63%) lesions and in stenoses (92%) versus occlusions (63%). At multivariate analysis, lesion length was the only predictive factor for 3-year stent patency. CONCLUSION:Stent implantation offers valuable long-term treatment for atherosclerotic iliac artery disease. Success can be predicted on the basis of risk factors.

journal_name

Radiology

journal_title

Radiology

authors

Strecker EP,Boos IB,Hagen B

doi

10.1148/radiology.199.3.8637980

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

641-7

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

199

pub_type

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