Recanalization of an occluded aortoiliac bypass graft with Palmaz stents.
Four tandem Palmaz balloon-expandable vascular stents were used to recanalize the completely occluded limb of an aortoiliac bypass graft after failure of thrombolysis and conventional angioplasty. The resting peak-systolic pressure gradient across the occluded limb was reduced from 68 to 13 mm Hg. The patient's rest pain resolved, and the ankle-brachial index rose from 0.54 to 0.78. No embolization or stent-related complications occurred. The graft remains patent as determined with noninvasive studies obtained 8 months later.
Soulen
M C
MC
Division of Cardiovascular/Interventional Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Bonn
J
J
Shapiro
M J
MJ
D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008875:Middle Aged; D015607:Stents