[Percutaneous angioplasty in iliac obstructions. Immediate and long-term results].
During the last 35 months, mechanical recanalisation was obtained in 25 (19 men, 6 women, aged 39 to 92 years, average 59 years) out of 30 patients admitted for percutaneous andovascular management, associating angioplasty and endovascular stents, of iliac artery occlusion of over 5 months duration. Forty-three balloon-expandable stents (27 Palmaz, 16 Strecker) were implanted in 29 iliac arteries (15 external, 14 common iliac arteries) with occlusions 2 to 7 cms long (average: 4.6 cm) either after balloon angioplasty (22 cases) or without angioplasty (7 cases) because of a suspected fresh thrombus suggested by easy recanalisation by the guide wire and with the aim of avoiding fragmentation and embolisation of the thrombotic material. In this type of case, a Strecker stent was preferred, a choice also justified by an "obligatory" contro-lateral approach (5 cases). With the exception of these cases, the treatment of first intention was to insert one or more Palmaz stents by a homo-lateral approach. Two haematomas with no complications and 1 reocclusion at the 24th hour, revascularised by urokinase with a good 6 months result, were observed. After the insertion of one Palmaz stent in one patient, a non-occlusive thrombus, probably due to embolism, was observed straddling the homolateral superficial and profunda femoral arteries, but it was of no clinical consequence. After thromboaspiration and angioplasty by a contro-lateral approach, the arterial lumen was recanalized with a sustained result at 18 months. Clinical Doppler and angiographic (digitised intravenous angioplasty) controls were obtained every 6 months in 22 patients.(ABSTRACT TRUNCATED AT 250 WORDS)
Unité de radiologie cardiovasculaire interventionnelle, clinique de la Providence, Antony.
J M
JM
Pernès
M C
MC
Augusto
D
D
Hovasse
G
G
Coppé
R
R
Labbé
R
R
Akrouf
M S
MS
Ilie
B
B
Carcone
D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000601:surgery / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D002404:Catheterization; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015607:Stents; D015912:Thrombolytic Therapy; D014654:Vascular Patency
Angioplastie percutanée avec endoprothèse dans les occlusions iliaques: résultats immédiats et à distance.