Skip to main content

Advertisement

Log in

Percutaneous Endovascular Treatment of Chronic Iliac Artery Occlusion

  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose: To evaluate the clinical and radiological long-term results of recanalization of chronic occluded iliac arteries with balloon angioplasty and stent placement.

Methods: Sixty-nine occluded iliac arteries (mean length 8.1 cm; range 4–16 cm) in 67 patients were treated by percutaneous transluminal angioplasty and stent placement. Evaluations included clinical assesment according to Fontaine stages, Doppler examinations with ankle–brachial index (ABI) and bilateral lower extremity arteriograms. Wallstent and Cragg vascular stents were inserted for iliac artery recanalization under local anesthesia. Follow-up lasted 1–83 months (mean 29.5 months).

Results: Technical success rate was 97.1% (67 of 69). The mean ABI increased from 0.46 to 0.85 within 30 days after treatment and was 0.83 at the most recent follow-up. Mean hospitalization time was 2 days and major complications included arterial thrombosis (3%), arterial rupture (3%) and distal embolization (1%). During follow-up 6% stenosis and 9% thrombosis of the stents were observed. Clinical improvement occurred in 92% of patients. Primary and secondary patency rates were 75% and 95%, respectively.

Conclusion: The long-term patency rates and clinical benefits suggest that percutaneous endovascular revascularization with metallic stents is a safe and effective treatment for patients with chronic iliac artery occlusion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.

Similar content being viewed by others

References

  1. GJ Becker BT Katzen MD Dake (1989) ArticleTitleNoncoronary angioplasty Radiology 170 921–940 Occurrence Handle1:STN:280:BiaC38bjvFM%3D Occurrence Handle2521745

    CAS  PubMed  Google Scholar 

  2. A Motarjeme JW Kweifer AJ Zuska (1980) ArticleTitlePercutaneous transluminal angioplasty of the iliac arteries: 66 experiences AJR Am J Roentgenol 135 937–944 Occurrence Handle1:STN:280:Bi6D1c3ovVU%3D Occurrence Handle6778171

    CAS  PubMed  Google Scholar 

  3. RF Colapinto RD Stronell WK Johnston (1986) ArticleTitleTransluminal angioplasty of complete iliac obstructions AJR AM J Roentgenol 146 859–862 Occurrence Handle1:STN:280:BimC2Mris1w%3D Occurrence Handle2937277

    CAS  PubMed  Google Scholar 

  4. KW Johnston (1993) ArticleTitleIliac arteries: Reanalysis of results of balloon angioplasty Radiology 186 207–212 Occurrence Handle1:STN:280:ByyC3c7nvFM%3D Occurrence Handle8416566

    CAS  PubMed  Google Scholar 

  5. CJ Tegtmeyer TS Moore JG Chandler et al. (1979) ArticleTitlePercutaneous transluminal dilatation of a complete block in the right iliac artery AJR Am J Roentgenol 133 532–535 Occurrence Handle1:STN:280:CSaB38fnsV0%3D Occurrence Handle111518

    CAS  PubMed  Google Scholar 

  6. CT Dotter (1969) ArticleTitleTransluminally-placed coilspring endarterial tube grafts: Long-term patency in canine popliteal artery Invest Radiol 4 329–332 Occurrence Handle1:STN:280:CS%2BD3MvgsVA%3D Occurrence Handle5346893

    CAS  PubMed  Google Scholar 

  7. RW Günther D Vorwerk K Bohndorf et al. (1989) ArticleTitleIliac and femoral artery stenoses and occlusions: Treatment with intravascular stents Radiology 172 725–730 Occurrence Handle2528159

    PubMed  Google Scholar 

  8. CR Rees JC Palmaz O Garcia et al. (1989) ArticleTitleAngioplasty and stenting of completely occluded iliac arteries Radiology 172 953–959 Occurrence Handle1:STN:280:BiaA28jovFw%3D Occurrence Handle2528170

    CAS  PubMed  Google Scholar 

  9. D Vorwerk RW Guenther (1990) ArticleTitleMechanical revascularization of occluded iliac arteries with use of self-expandable endoprotheses Radiology 175 411–415 Occurrence Handle1:STN:280:By%2BB383kvF0%3D Occurrence Handle2139231

    CAS  PubMed  Google Scholar 

  10. U Blum A Gabelmann M Redecker et al. (1993) ArticleTitlePercutaneous recanalization of iliac artery occlusions: Results of a prospective study Radiology 189 536–540 Occurrence Handle1:STN:280:ByuD383pvVQ%3D Occurrence Handle8210387

    CAS  PubMed  Google Scholar 

  11. J Lammer MD Dake J Bleyn et al. (2000) ArticleTitlePeripheral arterial obstruction: Prospective study of treatment with a transluminal placed self-expanding stent graft Radiology 217 95–104

    Google Scholar 

  12. InstitutionalAuthorNameSociety of Cardiovascular and Interventional Radiology (1990) ArticleTitleStandards of Practice Committee of the Society of Cardiovascular and Interventional Radiology: Guidelines for percutaneous transluminal angioplasty Radiology 177 619–626

    Google Scholar 

  13. PA Turski MF Streghorst CM Strother et al. (1982) ArticleTitleDigital substraction angiography “road map” AJR Am J Roentgenol 139 1233–1234 Occurrence Handle1:STN:280:BiyD2s7ktVQ%3D Occurrence Handle6983278

    CAS  PubMed  Google Scholar 

  14. EL Kaplan P Meier (1958) ArticleTitleNonparametric estimation from incomplete observations J Am Stat Assoc 53 457–481

    Google Scholar 

  15. B Rosner (1995) Fundamentals of biostatistics, 4th edn Duxbury Press New York

    Google Scholar 

  16. EP Strecker IBL Boos B Hagen (1996) ArticleTitleFlexible tantalum stents for the treatment of iliac artery lesions: Long-term patency, complications and risk factors Radiology 199 641–647 Occurrence Handle1:STN:280:BymB38%2FltFw%3D Occurrence Handle8637980

    CAS  PubMed  Google Scholar 

  17. ME DeBakey GM Lawrie DH Glaeser (1985) ArticleTitlePatterns of atherosclerosis and their surgical significance Ann Surg 201 115–131 Occurrence Handle1:STN:280:BiqC387htFY%3D Occurrence Handle3155934

    CAS  PubMed  Google Scholar 

  18. JC Laborde JC Palmaz FJ Rivera et al. (1995) ArticleTitleInfluence of anatomic distribution of atherosclerosis on the outcome of revascularization with iliac stent placement J Vasc Intervent Radiol 6 513–521 Occurrence Handle1:STN:280:BymD3MrivVE%3D

    CAS  Google Scholar 

  19. MR Sapoval G Chantelier AL Long et al. (1996) ArticleTitleSelf-expandable stents for the treatment of iliac artery obstructive lesions: Long-term success and prognostic factors AJR Am J Roentgenol 166 1173–1179 Occurrence Handle1:STN:280:BymC1Mjhs1w%3D Occurrence Handle8615265

    CAS  PubMed  Google Scholar 

  20. D Vorwerk RW Guenther K Schürmann et al. (1995) ArticleTitlePrimary stent placement for chronic iliac artery oclusions: Follow up results in 103 patients Radiology 194 745–749 Occurrence Handle1:STN:280:ByqC28jht1Q%3D Occurrence Handle7862973

    CAS  PubMed  Google Scholar 

  21. P Uther U Nyman M Lindh et al. (2002) ArticleTitleLong-term results of stenting for chronic iliac artery occlusion J Endovasc Ther 9 67–75 Occurrence Handle10.1583/1545-1550(2002)009<0067:LTROSF>2.0.CO;2 Occurrence Handle11958328

    Article  PubMed  Google Scholar 

  22. AK Gupta K Ravimandalam VRK Rao et al. (1993) ArticleTitleTotal occlusion of iliac arteries: Results of balloon angioplasty Cardiovasc Intervent Radiol 16 165–177 Occurrence Handle10.1155/S0161171293000195 Occurrence Handle1:STN:280:ByyA38jktVw%3D Occurrence Handle8334688

    Article  CAS  PubMed  Google Scholar 

  23. CJ Tegtmeyer CD Kellum IL Kron et al. (1985) ArticleTitlePercutaneous transluminal angioplasty in the region of the aortic bifurcation Radiology 157 661–665 Occurrence Handle1:STN:280:BimD2czktVA%3D Occurrence Handle2932769

    CAS  PubMed  Google Scholar 

  24. S Haulon C Mounier-Vehier V Gaxotte et al. (2002) ArticleTitlePercutaneous reconstruction of the aortoiliac bifurcation with the “kissing stents” technique: Long-term follow-up in 106 pacients J Endovasc Ther 2002 9 363–368 Occurrence Handle10.1583/1545-1550(2002)009<0363:PROTAB>2.0.CO;2

    Article  Google Scholar 

  25. S Petronelli N Burdi D Barile et al. (1998) ArticleTitlePercutaneous mechanical revascularization of chronic iliac artery occlusion with “first intention” stent placement Radiol Med (Torino) 96 92–97 Occurrence Handle1:STN:280:DyaK1M%2FjslSlsg%3D%3D

    CAS  Google Scholar 

  26. L Lupattelli A Maselli F Barzi et al. (1998) ArticleTitleChronic iliac artery occlusion: Treatment with Strecker stent after PTA Eur J Radiol 28 80–85 Occurrence Handle10.1016/S0720-048X(97)00112-5 Occurrence Handle1:STN:280:DyaK1czotlelsA%3D%3D Occurrence Handle9717627

    Article  CAS  PubMed  Google Scholar 

  27. R Reyes M Maynar J Lopera et al. (1997) ArticleTitleTreatment of chronic iliac artery occlusions with guide wire recanalization and primary stent placement J Vasc Intervent Radiol 8 1049–1055 Occurrence Handle1:STN:280:DyaK1c%2FmtVequg%3D%3D

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to F. C. Carnevale.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carnevale, F., De Blas, M., Merino, S. et al. Percutaneous Endovascular Treatment of Chronic Iliac Artery Occlusion. CVIR 27, 447–452 (2004). https://doi.org/10.1007/s00270-004-0086-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-0086-5

Navigation