[Percutaneous treatment of obstructive lesions of the aortic bifurcation: results at 50 months from 28 patients]. / Traitement endovasculaire percutané des lésions oblitérantes du carrefour aorto-iliaque: résultats chez 28 patients.
J Mal Vasc
; 29(1): 21-6, 2004 Feb.
Article
in Fr
| MEDLINE
| ID: mdl-15094662
ABSTRACT
OBJECTIVE:
We conducted a retrospective analysis of short- and mid-term results of endoluminal treatment of obstruction lesions involving the terminal aorta and the initial portions of the iliac arteries in 28 patients. PATIENTS ANDMETHODS:
Twenty-eight patients (9 women, 19 men, mean age 57.5 Years) presented 52 obstructive atheromatous lesions of the aorto-iliac bifurcation. The lesions were divided into three topographic groups (9 unilateral lesions, 19 bilateral ostial lesions, 5 widespread lesions of the terminal aorta) and identified as simple (44%) or complex (56%, more than 2 cm in length and/or calcified and/or eccentric).RESULTS:
Technical success was achieved in 93% of the cases with only one hematoma of the puncture site. Primary and secondary patencies were 78.9% and 93% after a mean follow-up of 50 Months (range 4-85). Clinical outcome remained good at this term for all cases of technical success but complete resolution of the symptoms was more frequent when a stent was used (84%) than for simple balloon dilatation (49%).CONCLUSION:
Percutaneous treatment of obstructive lesions of the aorto-iliac bifurcation may be proposed when possible as a first-line treatment.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aorta, Thoracic
/
Aortic Diseases
/
Arterial Occlusive Diseases
/
Angioplasty, Balloon
/
Iliac Artery
Type of study:
Observational_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
Fr
Journal:
J Mal Vasc
Year:
2004
Document type:
Article