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Related Experiment Videos

Endovascular techniques for abdominal aortic occlusions

E B Diethrich1

  • 1Department of Cardiovascular Surgery, Arizona Heart Institute and Foundation, Phoenix.

International Angiology : a Journal of the International Union of Angiology
|September 1, 1993
PubMed
Summary

Endovascular interventions combining thrombolysis and stenting effectively treat total abdominal aortic occlusions. This approach reduces surgery needs and shows promising long-term results for vascular pathologies.

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Endovascular interventions are expanding to treat diverse vascular pathologies.
  • Intraluminal devices combined with thrombolysis are crucial for abdominal aortic occlusive disease, potentially avoiding surgery.

Purpose of the Study:

  • To evaluate the efficacy of combining thrombolysis with endovascular stenting for total abdominal aortic occlusions.

Main Methods:

  • Seven patients with total abdominal aortic occlusions underwent antegrade, high-dose urokinase infusion over 20-48 hours.
  • Following lysis, balloon dilation and Palmaz stent implantation were performed for residual lesions.
  • Stents were implanted in the abdominal aorta and common iliac arteries.

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Main Results:

  • Thrombolysis achieved complete clot clearance in 6 patients and sufficient lysis in one, enabling retrograde iliac artery wire passage.
  • All seven patients required stent implantation (11 in the aorta, 10 in iliac arteries) for optimal revascularization.
  • Two cases of distal embolization occurred post-procedure but were managed successfully.

Conclusions:

  • Combining thrombolytic therapy with stenting is a viable endovascular strategy for treating abdominal aortic occlusions.
  • This combined approach expands the application of endovascular interventions for complex aortic disease.
  • Patients remained asymptomatic during follow-up up to 28 months.