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Primary stenting of embolic occlusions in iliac arteries
Saim Yilmaz1, Timur Sindel, Ersin Lüleci
1Department of Radiology, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey. ysaim@akdeniz.edu.tr
Insights
Primary stenting effectively treats embolic iliac artery occlusions, offering immediate symptom relief and excellent midterm results in selected patients. This endovascular approach shows promise for managing these challenging vascular conditions.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Therapy
Background:
- Embolic occlusions of the iliac arteries pose significant challenges in vascular treatment.
- Prompt restoration of blood flow is crucial to prevent limb ischemia and systemic complications.
Purpose of the Study:
- To evaluate the efficacy and safety of primary stenting for treating embolic iliac artery occlusions.
- To present clinical experience with this endovascular technique.
Main Methods:
- Retrospective evaluation of six patients undergoing primary stenting for iliac artery embolic occlusions.
- Utilized self-expanding stents followed by low-pressure balloon dilation.
Main Results:
- Primary stenting achieved technical success and immediate recanalization in all cases.
- Symptoms were eliminated or reduced post-procedure with no immediate complications.
- Midterm follow-up (mean 11 months) showed sustained patency of stented iliac arteries.
Conclusions:
- Primary stenting is a potentially valuable treatment for selected embolic iliac artery occlusions.
- The technique demonstrated excellent midterm outcomes in this limited case series.
- Further investigation in larger cohorts is warranted to confirm these findings.
Purpose:
To present our experience with the use of primary stenting to treat embolic iliac artery occlusions.
Methods And Results:
Six patients (5 men; mean age 50.6+/-14.1 years range 37-72) underwent primary stenting for embolic occlusions lodged in the common iliac and/or external iliac arteries and were retrospectively evaluated. The probable reason for the embolism was atrial fibrillation in 4 patients and acute myocardial infarction in 2. In 5 patients, an additional embolus was demonstrated in the renal, mesenteric, popliteal, and middle cerebral arteries. Iliac emboli were treated with primary implantation of self-expanding stents followed by very low-pressure balloon dilation. In all cases, primary stenting was technically successful and provided immediate recanalization with elimination or reduction of symptoms. There was no procedure-related complication. During the mean 11-month follow-up (range 1-18), all stented iliac arteries remained patient. One patient died due to cerebral embolism at 21 months.
Conclusions:
Although this experience is limited, excellent midterm results suggest that primary stenting may be a valuable alternative in the treatment of embolic occlusions of the iliac arteries in selected cases.