Abstract | PURPOSE: To evaluate the results of stent placement for obstructive atherosclerotic aortic disease with or without involvement of the common iliac artery. MATERIALS AND METHODS: Forty patients had self-expanding stents primarily or after balloon dilatation in the abdominal aorta between January 2005 and May 2011. All patients had trouble walking. Follow-up examinations were performed with clinical visits; these included color Doppler ultrasonography and computed tomographic angiography. RESULTS: Technical, clinical, and hemodynamic success was achieved in all patients. None of the patients underwent reintervention during the follow-up period, which ranged from 3 months to 6 years (median 24 months). Nine complications occurred in six patients. Of the nine complications, four were distal thromboembolisms, which were successfully treated with catheter-directed thrombolysis or anticoagulation therapy. CONCLUSION: Endovascular treatment of the obstructive aortic disease using self-expanding stents was safe and effective, with high technical success and long-term patency. Thromboembolic complications were high even though direct stenting was considered protective for thromboembolism formation. Particularly for infrarenal aortic stenosis, it can be recommended as the first-line treatment option for patients with obstructive atherosclerotic aortic disease.
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Authors | Hakan Önder, Levent Oğuzkurt, Serkan Gür, Güven Tekbaş, Kamil Gürel, Isa Coşkun, Uğur Ozkan |
Journal | Cardiovascular and interventional radiology
(Cardiovasc Intervent Radiol)
Vol. 36
Issue 1
Pg. 56-61
(Feb 2013)
ISSN: 1432-086X [Electronic] United States |
PMID | 22318446
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Angiography
(methods)
- Angioplasty
(instrumentation, methods)
- Aorta, Abdominal
(diagnostic imaging, pathology)
- Arterial Occlusive Diseases
(diagnostic imaging, therapy)
- Atherosclerosis
(diagnostic imaging, therapy)
- Cohort Studies
- Endovascular Procedures
(methods)
- Female
- Follow-Up Studies
- Humans
- Iliac Artery
(diagnostic imaging, pathology)
- Male
- Retrospective Studies
- Risk Assessment
- Stents
- Tomography, X-Ray Computed
(methods)
- Treatment Outcome
- Ultrasonography, Doppler, Color
(methods)
- Vascular Patency
(physiology)
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