| Percutaneous placement of stents in chronic iliac and aortic occlusive disease. | |
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MedLine Citation:
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PMID: 10426968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: to evaluate the long-term results of stenting in iliac and aortic occlusive disease and identify factors predicting clinical outcome. Design: retrospective study. MATERIALS AND METHODS: 82 patients (87 limbs) with stenoses (n =63) and occlusions (n =24) in the aortoiliac segment were treated with stents. 81 lesions involved the iliac arteries, 3 the infrarenal aorta and 3 the aortic bifurcation. Primary stenting was performed in 57 limbs (complex stenotic lesions and occlusions). Stents were placed following failed PTA in 30 limbs. Median follow-up was 13.2 months (1-66 months). RESULTS: technical success was 99% and clinical success 89%. Cumulative primary and secondary patency of stented iliac atherosclerotic lesions at 1 and 3 years was 75 and 61%, and 83 and 75% respectively. The factors predicting outcome of primary patency identified in Cox multivariate analysis were ankle-brachial index (ABI) prior stenting (p =0.03) and length of the lesion (p =0. 007). Major non-fatal complications occurred in 7.4% of the patients and there were no deaths attributed to the treatment. The 30-day mortality was 3.7%. CONCLUSION: stenting of complex aortoiliac stenoses and chronic occlusions is a safe and effective treatment modality. Long lesions and lower pre-procedure ABIs were found to negatively influence outcome. |
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Authors:
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P Uher; U Nyman; C Forssell; M Lindh; B Lindblad; K Ivancev |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 18 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 1999 Aug |
Date Detail:
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Created Date: 1999-09-17 Completed Date: 1999-09-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 114-21 Citation Subset: IM |
Copyright Information:
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Copyright 1999 W.B. Saunders Company Ltd. |
Affiliation:
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Department of Radiology, Malmö University Hospital, Malmö, S-205 02, Sweden. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Aorta, Abdominal* Arterial Occlusive Diseases / etiology, therapy* Female Humans Iliac Artery* Male Middle Aged Proportional Hazards Models Recurrence Retrospective Studies Risk Factors Statistics, Nonparametric Stents* / adverse effects Survival Analysis Treatment Outcome Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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