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Title: Transfemoral treatment for iliac occlusive disease with endoluminal stent-grafts
Authors: Lacroix, Hendrik ×
Stockx, L
Wilms, Guy
Nevelsteen, André #
Issue Date: Sep-1997
Series Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery vol:14 issue:3 pages:204-7
Abstract: OBJECTIVES: Percutaneous treatment of iliac artery occlusive disease has replaced open vascular reconstruction for several indications. A balloon angioplasty with or without stent is not an option in the presence of infrainguinal extension of the disease. The authors describe a technique that allows the construction of an aorto- or iliofemoral graft through a single groin incision, using a 4 mm PTFE graft, anchoring it proximally with a Palmaz stent and dilating both to the desired diameter. DESIGN: Retrospective non-randomised study. MATERIALS AND METHODS: Nineteen procedures were performed in 16 patients mainly because of ischaemic rest pain, often with trophic skin changes or minor gangrene. Three patients had a bilateral procedure. Twelve patients had one or more associated procedures: 10 distal bypasses, one thrombectomy, one reimplantation of a distal bypass on the iliofemoral graft, one contralateral profundaplasty and two stents of the contralateral common iliac artery. RESULTS: Two patients died, one of small bowel ischaemia and the other of a myocardial infarction. During the mean follow-up of 8.8 months, two graft thromboses occurred. In another patient bilateral stenting of a residual stenosis was necessary. CONCLUSIONS: Our experience shows that the reported technique is feasible. Whether the procedure is truly "less invasive" and the long-term results acceptable remains to be shown.
ISSN: 1078-5884
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Radiology
Vascular Surgery
Translational MRI (+)
× corresponding author
# (joint) last author

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