Document Detail

Endovascular treatment of steno-occlusions of the infrarenal abdominal aorta.
MedLine Citation:
PMID:  17021687     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Our aim is to report our experience in the endovascular treatment of steno-occlusions of the infrarenal abdominal aorta. MATERIALS AND METHODS: We selected 19 patients (mean age 66.3 years, range 45-80): five with complete occlusion of the infrarenal aorta and both common iliac arteries (CIAs), four of which were associated with occlusion of the external iliac arteries (EIAs); three with complete occlusion and three with severe stenosis of the distal aorta with occlusion or stenosis of the CIAs and EIAs; and eight with focal severe stenosis of the infrarenal aorta. All patients were treated with direct stenting. RESULTS: Immediate technical success was 94.7% (18/19 cases). We observed two cases of distal embolism treated with thrombolysis, one case of mild renal failure and one case of transient angina abdominis. During the follow-up (mean 19.6 months; range 6-48), 2/18 (11.1%) occlusions of an iliac stent occurred 1 and 3 months after the procedure (treated with local intra-arterial thrombolysis). The primary patency rate was 88.8% and the secondary patency rate was 100%. CONCLUSIONS: Direct stenting is a feasible and safe option for the treatment of infrarenal abdominal aortic steno-occlusions, especially in patients at high surgical risk, with good early and late clinical results.
D Laganà; G Carrafiello; M Mangini; D Lumia; R Caronno; P Castelli; S Cuffari; C Fugazzola
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Publication Detail:
Type:  Journal Article     Date:  2006-10-11
Journal Detail:
Title:  La Radiologia medica     Volume:  111     ISSN:  0033-8362     ISO Abbreviation:  Radiol Med     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-23     Completed Date:  2006-12-07     Revised Date:  2008-10-21    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  949-58     Citation Subset:  IM    
Vascular and Interventional Radiology, Department of Radiology, University of Insubria, Viale Borri 57, I-21100 Varese, Italy.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon*
Aorta, Abdominal / pathology*,  radiography,  surgery
Atherosclerosis / complications
Blood Vessel Prosthesis Implantation
Femoral Artery / pathology,  surgery
Follow-Up Studies
Iliac Artery / pathology,  surgery
Leriche Syndrome / etiology,  radiography*,  therapy*
Middle Aged
Treatment Outcome
Vascular Patency

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