Document Detail


Endovascular treatment of peripheral vascular lesions with stent-grafts.
MedLine Citation:
PMID:  16206061     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate our results of stent-graft implantation for the endovascular treatment of peripheral vascular lesions. MATERIALS AND METHODS: Seventeen patients underwent repair of iatrogenic, traumatic, or spontaneous vascular lesions by means of endovascular stent-grafts. The study cases consisted of 10 cardiac catheterization-induced femoral arteriovenous fistulas (AVFs) located between the deep femoral artery and the femoral vein, one iatrogenic AVF between the common iliac artery and vein, one penetrating trauma-induced AVF between the superficial femoral artery and vein, two penetrating trauma-induced pseudoaneurysms in the axillary and popliteal arteries, and three spontaneous or atherosclerosis- related iliac artery aneurysms. Balloon-expandable or self-expandable stent-grafts were used in all 17 cases. RESULTS: All the stent-grafts were deployed successfully. In catheterization-induced femoral AVFs, complete closure of the fistulas was immediately accomplished in 9 of the 10 cases. Blood flow within the pseudoaneurysms of the axillary artery and the popliteal artery, and aneurysms of the iliac arteries were stopped. Partial closure was achieved in two patients with traumatic iliac and femoral AVFs. For the patients who reported subsided complaints, mean follow-up for 24 months with clinical examination and color Doppler ultrasound revealed patency of the stented segments. CONCLUSION: Our results suggest that endovascular treatment of various types of peripheral vascular lesions with stent-grafts is a low-risk procedure, which appears to be less invasive than surgery.
Authors:
Baran Onal; Erhan T Ilgit; Sule Koşar; Koray Akkan; Terman Gümüş; Sergin Akpek
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  11     ISSN:  1305-3825     ISO Abbreviation:  -     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-10-05     Completed Date:  2005-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  170-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, Gazi University Medical School, Ankara, Turkey. baranonal@gazi.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aneurysm, False / etiology,  radiography,  surgery*
Arteriovenous Fistula / etiology,  radiography,  surgery*
Blood Vessel Prosthesis Implantation
Coronary Angiography
Female
Femoral Artery / injuries
Heart Catheterization / adverse effects
Humans
Iliac Artery / injuries
Male
Middle Aged
Stents*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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