[Percutaneous recanalization of pelvic artery occlusions--fibrinolysis, PTA, stents].
In 42 patients with symptomatic chronic iliac artery occlusions with a length of 2-15 cm (mean 4.3 cm), percutaneous recanalization was attempted. The study population was divided into 2 groups: Group I (n = 17) is a retrospective control group, the patients were treated with fibrinolysis (FL) and percutaneous transluminal angioplasty (PTA). In group II (n = 25) the patients were treated according to a prospective protocol including FL, PTA and placement of endovascular self-expandable stents. The recanalization rate for Group I and II together was 83% (35/42). FL was effective in 47%, in 53% the recanalization was performed mechanically only. The patency rate in Group I during a maximum of 69 months was 67%, in Group II, in which residual stenoses were treated with stents, 100% during max. 18 months. Obviously stents help to improve the results after percutaneous recanalization of iliac artery occlusions significantly.
Hausegger
K A
KA
Univ.-Klinik für Radiologie, Karl-Franzens-Universität Graz.
Lammer
J
J
Klein
G E
GE
Flückiger
F
F
Lafer
M
M
Pilger
E
E
Aschauer
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000706:statistics & numerical data; D001157:Arterial Occlusive Diseases / Q000453:epidemiology / Q000628:therapy*; D003131:Combined Modality Therapy; D005069:Evaluation Studies as Topic; D006801:Humans; D007083:Iliac Artery; D008875:Middle Aged; D010960:Plasminogen Activators / Q000627:therapeutic use*; D011994:Recombinant Proteins / Q000627:therapeutic use; D012189:Retrospective Studies; D015607:Stents / Q000706:statistics & numerical data; D013300:Streptokinase / Q000627:therapeutic use*; D015912:Thrombolytic Therapy / Q000706:statistics & numerical data
D011994:Recombinant Proteins; D013300:Streptokinase; D010960:Plasminogen Activators
Perkutane Rekanalisation von Beckenarterienverschlüssen--Fibrinolyse, PTA, Stents.