Intraluminal stents in atherosclerotic iliac artery stenosis: preliminary report of a multicenter study.
Fifteen patients with symptomatic iliac artery stenosis were treated with intraluminal placement of balloon-expandable stents. Before treatment, 14 patients had intermittent claudication, and one had a limb at risk for amputation. One patient had diabetes mellitus, nine had hypertension, and all were long-term smokers. Two patients had surgical placement of the stent; in one patient this was part of a combined revascularization procedure. All other stents were placed percutaneously. The transstenotic gradient after injection of vasodilating drugs distal to the lesion decreased from a mean of 32.3 mm Hg +/- 16.7 to 3.1 mm Hg +/- 4.2 after stent placement. Ankle-arm Doppler systolic pressure index increased from a mean of 0.68 +/- 0.22 to 0.96 +/- 0.24 after the procedure. The treatment eliminated intermittent claudication in 14 patients and increased exercise tolerance to 500 m in the patient with a limb at risk for amputation before the procedure. The improved condition persisted in all patients during the follow-up of 6-12 months. Stent placement may be a valuable adjunct in the management of iliac artery disease.
Palmaz
J C
JC
Department of Radiology, University of Texas Health Science Center, San Antonio 78284-7800.
Richter
G M
GM
Noeldge
G
G
Schatz
R A
RA
Robison
P D
PD
Gardiner
G A
GA
Becker
G J
GJ
McLean
G K
GK
Denny
D F
DF
Lammer
J
J
D000792:Angiography; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001161:Arteriosclerosis / Q000628:therapy*; D002986:Clinical Trials as Topic; D003251:Constriction, Pathologic / Q000628:therapy; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D013193:Stainless Steel; D014654:Vascular Patency
D013193:Stainless Steel