Abstract
Purpose
To evaluate the results of stent placement for obstructive atherosclerotic aortic disease with or without involvement of the common iliac artery.
Materials and Methods
Forty patients had self-expanding stents primarily or after balloon dilatation in the abdominal aorta between January 2005 and May 2011. All patients had trouble walking. Follow-up examinations were performed with clinical visits; these included color Doppler ultrasonography and computed tomographic angiography.
Results
Technical, clinical, and hemodynamic success was achieved in all patients. None of the patients underwent reintervention during the follow-up period, which ranged from 3 months to 6 years (median 24 months). Nine complications occurred in six patients. Of the nine complications, four were distal thromboembolisms, which were successfully treated with catheter-directed thrombolysis or anticoagulation therapy.
Conclusion
Endovascular treatment of the obstructive aortic disease using self-expanding stents was safe and effective, with high technical success and long-term patency. Thromboembolic complications were high even though direct stenting was considered protective for thromboembolism formation. Particularly for infrarenal aortic stenosis, it can be recommended as the first-line treatment option for patients with obstructive atherosclerotic aortic disease.
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Önder, H., Oğuzkurt, L., Gür, S. et al. Endovascular Treatment of Infrarenal Abdominal Aortic Lesions With or Without Common Iliac Artery Involvement. Cardiovasc Intervent Radiol 36, 56–61 (2013). https://doi.org/10.1007/s00270-012-0357-5
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DOI: https://doi.org/10.1007/s00270-012-0357-5