Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions.
We report the primary and long-term outcome of patients with selected TransAtlantic Inter-Society Consensus (TASC) C or D lesions of the iliac arteries after percutaneous interventional reconstruction. Between 1999 and 2001, 89 patients with peripheral arterial disease categorized as TASC C (n=37) and D (n=52) underwent percutaneous interventional reconstruction and stent implantation. Patients were followed for 1-62 months (mean 36 months). Patency rates were assessed by Duplex ultrasound and ankle-brachial index (ABI) measurement. The primary technical success rate was 96.9% with an overall complication rate of 5.6%. The ABI improved from an average of 0.51+/-0.15 before intervention to 0.79+/-0.16 on the day following intervention and to 0.81+/-0.17 within 3 years after intervention. Clinical improvement was observed in 97.3% of the patients in the TASC C group and in 88.5% in the TASC D group. Eighty of 89 patients (89.9%) remained patent at 3-year follow-up. In five patients the reintervention was successful. The secondary patency rate was 95.5%. The patency rates were similar in our selected TASC C and D patients to those so far published for TASC A and B, with low complication rates. Therefore, percutaneous intervention can be recommended for these patients.
Balzer
Jörn O
JO
Department of Diagnostic and Interventional Radiology, University Clinic, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, Frankfurt/Main, Germany. j.o.balzer@em.uni-frankfurt.de
Gastinger
Verena
V
Ritter
Ralf
R
Herzog
Christopher
C
Mack
Martin G
MG
Schmitz-Rixen
Thomas
T
Vogl
Thomas J
TJ
D000800:Angioplasty, Balloon / Q000379:methods* / Q000706:statistics & numerical data*; D000842:Ankle / Q000098:blood supply; D001157:Arterial Occlusive Diseases / Q000145:classification / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods* / Q000706:statistics & numerical data*; D001916:Brachial Artery / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000098:blood supply; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods; D014654:Vascular Patency / Q000502:physiology