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Endovascular treatment for unilateral chronic total occlusions of the iliac artery categorized as TASC II type D lesions

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Abstract

Purpose

To compare the results of endovascular treatment for unilateral iliac occlusion in types B and D, and confirm its validity for type D.

Methods

Between 2000 and 2011, 108 patients underwent endovascular treatment for unilateral iliac occlusion. 77 were categorized as type B for occlusion of common iliac artery (CIA) or external iliac artery (EIA) and 31 were categorized as type D for occlusion of both CIA and EIA. The initial success rates, procedure time, penetration time, amount of contrast media used, complication rates, and cumulative primary patency rates were determined and compared between these groups.

Results

Between type D and B groups, the initial success rates were 87.1 % (type D) and 89.6 % (type B) (p = 0.9316). The procedure time was 137.0 ± 55.5 and 97.2 ± 47.2 min (p < 0.05). The penetration time was 49.1 ± 40.6 and 31.6 ± 30.1 min (p < 0.05). The amount of contrast agent used was 193.9 ± 103.1 and 156.5 ± 85.0 ml (p = 0.0722). The complication rates were 6.5 and 3.9 % (p = 0.8491). The cumulative primary patency rates, at 1, 3, and 5 years were 91, 85, and 85 % and 100, 96, and 93 %.

Conclusion

Endovascular treatment can be indicated for unilateral occlusion of both CIA and EIA categorized as type D.

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Conflict of interest

Naokazu Miyamoto and other co-authors have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, Hyogo Brain and Heart Center at Himeji, 520 Saishokou, Himeji, Hyogo, 670-0981, Japan

    Naokazu Miyamoto & Ryota Kawasaki

  2. Department of Radiology and Center for Endovascular Therapy, Kobe University Graduate School of Medicine, Kobe, Japan

    Masato Yamaguchi, Kazuro Sugimura & Koji Sugimoto

  3. Department of Radiology, National Cerebral and Cardiovascular Center, Osaka, Japan

    Tetsuya Fukuda

Authors
  1. Naokazu Miyamoto
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  2. Ryota Kawasaki
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  3. Tetsuya Fukuda
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  4. Masato Yamaguchi
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  5. Kazuro Sugimura
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  6. Koji Sugimoto
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Correspondence to Naokazu Miyamoto.

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Miyamoto, N., Kawasaki, R., Fukuda, T. et al. Endovascular treatment for unilateral chronic total occlusions of the iliac artery categorized as TASC II type D lesions. Surg Today 45, 162–167 (2015). https://doi.org/10.1007/s00595-014-0883-7

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  • DOI: https://doi.org/10.1007/s00595-014-0883-7

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