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Percutaneous transluminal dilatation of the iliac artery: long-term results

G J van Andel, W F van Erp, V M Krepel

    Radiology
    |August 1, 1985
    PubMed

    Insights

    Percutaneous transluminal angioplasty (PTA) for iliac artery stenosis shows a 90% 7-year patency rate. This minimally invasive treatment is a viable alternative to vascular surgery for patients with iliac arterial stenoses.

    Area of Science:

    • Vascular Surgery
    • Interventional Cardiology
    • Medical Devices

    Background:

    • Iliac artery stenosis is a significant cause of lower limb ischemia.
    • Percutaneous transluminal angioplasty (PTA) is a common endovascular treatment.
    • Long-term outcomes of PTA for iliac stenosis require further evaluation.

    Purpose of the Study:

    • To evaluate the long-term efficacy and patency rates of PTA in patients with iliac artery stenosis.
    • To compare the results of PTA with traditional reconstructive vascular surgery.

    Main Methods:

    • A retrospective analysis of 154 patients who underwent PTA for iliac artery stenosis.
    • Long-term follow-up ranging from 1 to 7 years.
    • Computerized analysis and life table generation to determine patency rates.

    Main Results:

    • The accumulative 7-year patency rate for PTA was 90%.
    • Results were analyzed for iliac artery dilatations with unimpaired flow and those with outflow tract obstruction.
    • The findings are consistent with previously reported outcomes.

    Conclusions:

    • PTA offers competitive long-term results compared to reconstructive vascular surgery for iliac artery stenosis.
    • PTA should be considered the primary treatment option for patients with iliac arterial stenoses.

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