Document Detail


Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions.
MedLine Citation:
PMID:  15809828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jörn O Balzer; Verena Gastinger; Ralf Ritter; Christopher Herzog; Martin G Mack; Thomas Schmitz-Rixen; Thomas J Vogl
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Publication Detail:
Type:  Journal Article     Date:  2005-04-05
Journal Detail:
Title:  European radiology     Volume:  16     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-10     Completed Date:  2006-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  124-31     Citation Subset:  IM    
Affiliation:
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
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / 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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