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Endovascular treatment for long segment iliac artery occlusion involving the iliac artery opening

Ya-Dong Zhou1, Yun-Biao Guan1, Ming Xue1

  • 1Department of Vascular Surgery, Fujian Medical University Union Hospital, Fuzhou, China.

Asian Journal of Surgery
|July 24, 2020
PubMed

Insights

Endovascular therapy is a safe and effective treatment for long-segment iliac artery occlusion. This approach demonstrated high technical success and significant clinical improvement in patients.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Interventions

Background:

  • Long-segment iliac artery occlusion presents a significant challenge in vascular interventions.
  • Endovascular therapy offers a minimally invasive alternative to traditional surgical approaches.

Purpose of the Study:

  • To evaluate the outcomes of endovascular therapy for long-segment iliac artery occlusion involving the iliac artery opening.
  • To assess the safety and efficacy of this treatment modality.

Main Methods:

  • Retrospective analysis of 32 patients undergoing endovascular therapy between March 2012 and March 2017.
  • Treatment included endovascular therapy with or without catheter-directed thrombolysis (CDT).
  • Mean lesion length was 129.8 mm.

Main Results:

  • Technical success rate was 90.6% (29/32 patients).
  • Major complication rate was 3.5%; no in-hospital mortality.
  • Clinical symptoms improved in 29 patients, with patency rates up to 96.6% at 6 months and 66.2% at 36 months.

Conclusions:

  • Endovascular treatment is a safe and effective option for long-segment iliac artery occlusion.
  • Individualized treatment approaches and precise surgical techniques are crucial for successful outcomes.
  • Customization of treatment ensures good postoperative efficacy.
Abstract

Keywords:
Endovascular therapyIliac artery occlusionStent

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