Abstract:
:Percutaneous angioplasty and placement of balloon-expandable intraluminal stents were performed in 12 iliac occlusions in 12 patients. Indications were limb salvage in seven and claudication in five. After successful stenting, ankle-brachial indexes improved by 0.15 or more in 11 of 12 patients (mean increase, 0.40), transstenotic pressure gradients decreased to less than 5 mm Hg (mean, 0.58 mm Hg) in all patients, and improvement in clinical grade was seen in all patients. At follow-up at 1-14 months (median, 6 months), ankle-brachial indexes were stable (mean, 0.95), and clinical grades were unchanged in all patients. Complications occurred in two patients; both experienced distal embolization, and one, who was receiving corticosteroid therapy, also suffered stent thrombosis. Local surgical embolectomy was successful in both patients, and the thrombosed stent was recanalized with urokinase. This early experience suggests that stenting may play an important role in the management of iliac occlusions, especially in poor surgical candidates.
journal_name
Radiologyjournal_title
Radiologyauthors
Rees CR,Palmaz JC,Garcia O,Roeren T,Richter GM,Gardiner G Jr,Schwarten D,Schatz RA,Root HD,Rogers Wdoi
10.1148/172.3.953subject
Has Abstractpub_date
1989-09-01 00:00:00pages
953-9issue
3 Pt 2eissn
0033-8419issn
1527-1315journal_volume
172pub_type
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