Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions

Maynar, Manuel, Zander, Tobias, Qian, Zhong, Rostagno, Roman, Llorens, Rafael, Zerolo, Ignacio, Kirsch, David, Sorrells, Lisa and Castaneda, Wilfrido R. (2005) Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. Journal of Endovascular Therapy, 12 1: 22-27. doi:10.1583/04-1370R.1


Author Maynar, Manuel
Zander, Tobias
Qian, Zhong
Rostagno, Roman
Llorens, Rafael
Zerolo, Ignacio
Kirsch, David
Sorrells, Lisa
Castaneda, Wilfrido R.
Title Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions
Journal name Journal of Endovascular Therapy   Check publisher's open access policy
ISSN 1526-6028
1545-1550
Publication date 2005-02
Sub-type Article (original research)
DOI 10.1583/04-1370R.1
Volume 12
Issue 1
Start page 22
End page 27
Total pages 6
Place of publication Lawrence, KS, United States
Publisher Allen Press
Language eng
Formatted 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 procedurerelated 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.
Keyword Aortoiliac segment
Occlusive disease
Thrombolysis
Endovascular repair
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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