Document Detail


Iliac artery angioplasty : technique and results.
MedLine Citation:
PMID:  15571019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous angioplasty is widely used for the treatment of iliac artery occlusive disease. Access to the ipsi-lateral, or less commonly contralateral, common femoral artery is obtained under local anaesthesia; the lesion is crossed with a guidewire and dilated with an angioplasty balloon catheter. This technique yields excellent immediate results with very few complications. Stent placement is used in lesions not amenable to balloon angioplasty, in complications, and recurrences. Evidence suggests that balloon angioplasty is the procedure of choice for iliac artery occlusive lesions. Stent placement should be reserved for angioplasty failures. However, primary stent placement is indicated in total occlusions. Lesion morphology is an important determinant of immediate success and long-term patency. TASC lesions type A and B are best treated with angioplasty and stenting, while TASC lesions type C and D show better results with surgical treatment. The development of new stent designs may expand the indications of the percutaneous treatment.
Authors:
E N Brountzos; D A Kelekis
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  104     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-12-01     Completed Date:  2005-02-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  532-9     Citation Subset:  IM    
Affiliation:
Second Department of Radiology, Eugenidion Hospital, Medical School, Athens University, Greece. platanos@hol.gr
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / therapy*
Humans
Iliac Artery*
Patient Selection
Perioperative Care
Stents
Treatment Outcome

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


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