[Endovascular treatment of arterial occlusive disease of the iliac arteries].
Atherosclerotic disease is one of the most important health problems in the United States and in the entire world. The endovascular techniques for the treatment of peripheral vascular disease have been investigated in recent years. This is a review of the literature of the endovascular techniques used in the treatment of occlusive iliac disease. Angioplasty has showed excellent results in concentric lesions, of less 5 cm of length with a technical success of 96%, primary patency of 90%, 81% and 72% at one, two and three years. The complication rate is 0.5% to 0.8% and the mortality rate is 0.2%. The use of stents has improved the success of arterial recanalization, with a technical success of 97%, and a primary patency of 90%, 84% and 71% at one, two and three years. Major complications appear in less than 1% of the cases. In conclusion the endovascular techniques have been proved to be the treatment of choice for certain selected forms of presentation of atherosclerotic disease in the iliac arteries, specifically short, focal lesions. The results have been excellent with less mortality and morbidity than surgery.
Martínez
R
R
Department of Interventional Radiology, Louisiana State University, New Orleans, USA. ramartinez70@hotmail.com
García Medina
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V
Ferral
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H
D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D017546:Angioscopy; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D004867:Equipment Design; D006801:Humans; D007083:Iliac Artery; D015607:Stents
Tratamiento endovascular de la enfermedad aterooclusiva de las arterias iliacas.