| Endovascular treatment of steno-occlusions of the infrarenal abdominal aorta. | |
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MedLine Citation:
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PMID: 17021687 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D Laganà; G Carrafiello; M Mangini; D Lumia; R Caronno; P Castelli; S Cuffari; C Fugazzola |
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Publication Detail:
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Type: Journal Article Date: 2006-10-11 |
Journal Detail:
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Title: La Radiologia medica Volume: 111 ISSN: 0033-8362 ISO Abbreviation: Radiol Med Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-10-23 Completed Date: 2006-12-07 Revised Date: 2008-10-21 |
Medline Journal Info:
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Nlm Unique ID: 0177625 Medline TA: Radiol Med Country: Italy |
Other Details:
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Languages: eng Pagination: 949-58 Citation Subset: IM |
Affiliation:
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Vascular and Interventional Radiology, Department of Radiology, University of Insubria, Viale Borri 57, I-21100 Varese, Italy. donlaga@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Balloon* Aorta, Abdominal / pathology*, radiography, surgery Atherosclerosis / complications Blood Vessel Prosthesis Implantation Female Femoral Artery / pathology, surgery Follow-Up Studies Humans Iliac Artery / pathology, surgery Leriche Syndrome / etiology, radiography*, therapy* Male Middle Aged Stents* Treatment Outcome Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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