|Title:||Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions||Authors:||Maynar Moliner, Manuel
|UNESCO Clasification:||32 Ciencias médicas
320704 Patología cardiovascular
|Keywords:||Percutaneous Transluminal Angioplasty
Artery, et al
|Issue Date:||2005||Journal:||Journal of Endovascular Therapy||Abstract:||Purpose: To report our initial experience with a bifurcated endoprosthesis in the management of aortoiliac occlusive disease.Methods: From May 2001 to February 2004, 112 patients were referred to our institution for the management of aortoiliac disease. Among these, 5 (6%) patients (3 men; mean age 57.8 years) with severe ischemia owing to TASC C or D iliac occlusions were selected for endovascular treatment with a bifurcated stent-graft. An Excluder stent-graft was placed after preliminary recanalization (thrombolysis and/or balloon dilation) the day before. The patients were followed clinically and ultrasonographically every 3 months during the first year and semiannually thereafter.Results: Technical success was achieved in all patients. Endovascular aortoiliac bifurcation reconstruction restored iliac artery flow immediately in all cases. There were no procedure-related complications. The mean ankle-brachial index (ABI) was significantly improved, from 0.66+/-0.04 before the procedure to 0.94+/-0.06 immediately after the procedure (p<0.01). The aortoiliac reconstructions remained patent during the mean 17-month follow-up (range 3-36), and the ABIs were stable. There was no mortality or amputation required in this series.Conclusions: Endovascular placement of a bifurcated stent-graft appears to be technically feasible, effective, and safe in the management of aortoiliac occlusive disease.||URI:||http://hdl.handle.net/10553/76252||ISSN:||1526-6028||DOI:||10.1583/04-1370R.1||Source:||Journal Of Endovascular Therapy [ISSN 1526-6028], v. 12 (1), p. 22-27, (Febrero 2005)|
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