title: Iliac artery stenosis or obstruction after unsuccessful balloon angioplasty: treatment with a self-expandable stent.
abstract: Obstruction or stenosis of the iliac artery was treated by placement of a self-expandable stent in 91 patients. A total of 100 lesions was treated. All patients had had poor results of balloon angioplasty including residual stenosis, iliac occlusion, and dissection. The stent used in all cases was a self-expandable stainless steel endoprosthesis mounted on a 7- or 9-French catheter and covered by an invaginated tubular rolling membrane. The diameter of the expanded stent varied from 7 to 12 mm. A total of 129 stents was placed. Technical success was 97%. Thromboses occurred immediately after placement in two patients and within the first month in six; these were mainly due to residual obstruction. Eighty-two (93%) of 88 patients with a follow-up longer than 3 months had no recurrent symptoms. Restenosis caused by intimal hyperplasia inside the stent occurred in 10 patients; these required repeated intervention in only four cases. In the remaining six patients, no further complications occurred. Our results show that self-expanding endoprostheses are of value for improving the results of inadequate percutaneous transluminal angioplasty.
authors.affiliation: Department of Diagnostic Radiology, University of Technology, Aachen, Germany.
authors.forename: R W
authors.initials: RW
authors.lastname: Günther
authors.forename: D
authors.initials: D
authors.lastname: Vorwerk
authors.forename: F
authors.initials: F
authors.lastname: Antonucci
authors.forename: B
authors.initials: B
authors.lastname: Beyssen
authors.forename: A
authors.initials: A
authors.lastname: Essinger
authors.forename: J C
authors.initials: JC
authors.lastname: Gaux
authors.forename: F
authors.initials: F
authors.lastname: Joffre
authors.forename: A
authors.initials: A
authors.lastname: Raynaud
authors.forename: H
authors.initials: H
authors.lastname: Rousseau
authors.forename: C L
authors.initials: CL
authors.lastname: Zollikofer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D015607:Stents