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Title: Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions
Authors: Maynar Moliner, Manuel 
Zander, T
Qian, Z
Rostagno, R
Llorens, R
Zerolo, I
Kirsch, D
Sorrells, L
Castaneda, WR
UNESCO Clasification: 32 Ciencias médicas
320704 Patología cardiovascular
Keywords: Percutaneous Transluminal Angioplasty
Aortic Bifurcation
Kissing Stents
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.
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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