Annals of Vascular Surgery

, Volume 9, Issue 5, pp 453–458 | Cite as

Stenting without thrombolysis for aortoiliac occlusive disease: Experience in 14 high-risk patients

  • Jeffrey L. Ballard
  • Frank C. Taylor
  • Steven R. Sparks
  • J. David Killeen
Papers Presented at the Southern California Vascular Surgical Society


Stenting without thrombolysis of 16 occluded iliac artery segments and one occluded infrarenal abdominal aorta was attempted in 14 patients. All patients were either considered to be prohibitive operative risks or had contraindications to thrombolytic therapy. Indications for limb reperfusion included rest pain, disabling claudication, or dry gangrene. Successful recanalization was achieved primarily in 13 patients with self-expandable Wallstents, balloon-expandable Palmaz stents, or a combination of the two stents. Follow-up was carried out in all patients in whom recanalization was successful. All stented patients showed symptomatic improvement, and the mean preprocedure ankle/brachial index, which was 0.31, improved to 0.78 after the procedure (p = 0).Complications included a vertebrobasilar stroke during the procedure in one patient, perforation during angioplasty of a stenotic but nonoccluded external iliac artery in one, and dissection of the distal external iliac artery in one. Distal embolization did not occur. Percutaneous recanalization of aortoiliac occlusions without initial thrombolysis is possible and has a high potential for technical success. Additional data and longer follow-up are still needed, but this procedure may provide a reasonable, less invasive option in some patients at high surgical risk or in patients who have contraindications to thrombolytic therapy.


Thrombolytic Therapy External Iliac Artery Distal Embolization High Surgical Risk Invasive Option 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Annals of Vascular Surgery Inc. 1995

Authors and Affiliations

  • Jeffrey L. Ballard
    • 1
  • Frank C. Taylor
    • 2
  • Steven R. Sparks
    • 1
  • J. David Killeen
    • 1
  1. 1.Division of Vascular SurgeryLoma Linda University Medical CenterLoma Linda
  2. 2.Divisions of Interventional RadiologyLoma Linda University Medical CenterLoma Linda

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