| Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions. | |
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MedLine Citation:
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PMID: 15809828 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the primary and long-term outcome of patients with selected TransAtlantic Inter-Society Consensus (TASC) C or D lesions of the iliac arteries after percutaneous interventional reconstruction. Between 1999 and 2001, 89 patients with peripheral arterial disease categorized as TASC C (n=37) and D (n=52) underwent percutaneous interventional reconstruction and stent implantation. Patients were followed for 1-62 months (mean 36 months). Patency rates were assessed by Duplex ultrasound and ankle-brachial index (ABI) measurement. The primary technical success rate was 96.9% with an overall complication rate of 5.6%. The ABI improved from an average of 0.51+/-0.15 before intervention to 0.79+/-0.16 on the day following intervention and to 0.81+/-0.17 within 3 years after intervention. Clinical improvement was observed in 97.3% of the patients in the TASC C group and in 88.5% in the TASC D group. Eighty of 89 patients (89.9%) remained patent at 3-year follow-up. In five patients the reintervention was successful. The secondary patency rate was 95.5%. The patency rates were similar in our selected TASC C and D patients to those so far published for TASC A and B, with low complication rates. Therefore, percutaneous intervention can be recommended for these patients. |
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Authors:
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Jörn O Balzer; Verena Gastinger; Ralf Ritter; Christopher Herzog; Martin G Mack; Thomas Schmitz-Rixen; Thomas J Vogl |
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Publication Detail:
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Type: Journal Article Date: 2005-04-05 |
Journal Detail:
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Title: European radiology Volume: 16 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2006-01-10 Completed Date: 2006-06-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 124-31 Citation Subset: IM |
Affiliation:
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Department of Diagnostic and Interventional Radiology, University Clinic, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, Frankfurt/Main, Germany. j.o.balzer@em.uni-frankfurt.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon
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methods*,
statistics & numerical data* Ankle / blood supply Arterial Occlusive Diseases / classification, surgery, therapy* Blood Vessel Prosthesis Implantation / methods*, statistics & numerical data* Brachial Artery / physiology Female Follow-Up Studies Humans Iliac Artery / surgery* Male Middle Aged Pelvis / blood supply Retrospective Studies Stents Treatment Outcome Ultrasonography, Doppler, Duplex / methods Vascular Patency / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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