Abstract
We report the primary and long-term outcome of patients with selected TransAtlantic Inter-Society Consensus (TASC) C or D lesions of the iliac arteries after percutaneous interventional reconstruction. Between 1999 and 2001, 89 patients with peripheral arterial disease categorized as TASC C (n=37) and D (n=52) underwent percutaneous interventional reconstruction and stent implantation. Patients were followed for 1–62 months (mean 36 months). Patency rates were assessed by Duplex ultrasound and ankle–brachial index (ABI) measurement. The primary technical success rate was 96.9% with an overall complication rate of 5.6%. The ABI improved from an average of 0.51±0.15 before intervention to 0.79±0.16 on the day following intervention and to 0.81±0.17 within 3 years after intervention. Clinical improvement was observed in 97.3% of the patients in the TASC C group and in 88.5% in the TASC D group. Eighty of 89 patients (89.9%) remained patent at 3-year follow-up. In five patients the reintervention was successful. The secondary patency rate was 95.5%. The patency rates were similar in our selected TASC C and D patients to those so far published for TASC A and B, with low complication rates. Therefore, percutaneous intervention can be recommended for these patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Önal B, Ilgit ET, Yücel C, Özbek E, Vural M, Akpek S (1998) Primary stenting for complex atherosclerotic plaques in aortic and iliac stenoses. Cardiovasc Intervent Radiol 21:386–392. DOI: 10.1007/s002709900285
TransAtlantic Inter-Society Consensus Working Group (2000) Management of peripheral arterial disease (PAD). J Vasc Surg 31:97–121
Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, Jones DN (1997) Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg 26(3):517–538
Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observation. J Am Stat Assoc 53:457–481
Timaran CH, Stevens SL, Freeman MB, Goldman MH (2001) External iliac and common iliac artery angioplasty and stenting in men and women. J Vasc Surg 34:440–446. DOI: 10.1067/mva.2001.117148
Timaran CH, Prault TL, Stevens SL, Freeman MB, Goldman MH (2003) Iliac artery stenting versus surgical reconstruction for TASC type B and type C iliac lesions. J Vasc Surg 38:272–278. DOI: 10.1016/S0741-5214(03)00411-7
Comerota A (2001) Endovascular and surgical revascularization for patients with intermittent claudication. Am J Cardiol 87(suppl):34D–43D
Scheinert D, Schröder M, Ludwig J, Bräunlich S, Möckel M, Flachskampf FA, Balzer JO, Biamino G (2001) Stent-supported recanalization of chronic iliac artery occlusions. Am J Med 110(9):708–715
Scheinert D, Schröder M, Balzer JO, Steinkamp H, Biamino G (1999) Stent-supported reconstruction of the aortoiliac bifurcation with the kissing balloon technique. Circulation 100(suppl II):II-295–II-300.
Cannon RO (2002) Restenosis after angioplasty. N Engl J Med 346(16):1182–1183
Pekka JM, Manninen HI (1998) Complications of lower-limb percutaneous transluminal angioplasty: A prospective analysis of 410 procedures on 295 consecutive patients. Cardiovasc Interv Radiol 21:361–366. DOI: 10.1007/s002709900281
Gardiner GA Jr, Meyerovitz MF, Stokes KR, Clouse ME, Harrington DP, Bettmann MA (1986) Complications of transluminal angioplasty. Radiology 159:201–208
Ćwikiel W (2002) Restenosis after balloon angioplasty and/or stent insertion—origin and prevention. Acta Radiol 43:442–454. DOI: 10.1034/j.1600-0455.2002.430502.x
Bosch JL, van der Graaf Y, Hunink GM (1999) Health-related quality of life after angioplasty and stent placement in patients with iliac artery occlusive disease. Circulation 99:3155–3160
Kim JK, Kim YH, Chung SY, Kang HK (1999) Primary stent placement for recanalization of iliac artery occlusions: Using a self-expanding spiral stent. Cardiovasc Interv Radiol 22:278–281. DOI: 10.1007/s002709900388
Acknowledgement
The authors thank Hanns Ackermann, Department of Biomathematics, University of Frankfurt/Main, Germany, for his contribution to the statistical analysis.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Balzer, J.O., Gastinger, V., Ritter, R. et al. Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions. Eur Radiol 16, 124–131 (2006). https://doi.org/10.1007/s00330-005-2736-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-005-2736-7