Percutaneous endovascular recanalization of iliac artery.
BACKGROUND
The method of percutaneous, endovascular recanalization of the iliac artery in patients with occluded common and external iliac arteries was used.


METHODS
In 58 patients (mean age 59 years), percutaneous endovascular recanalization of 40 common and 18 external iliac arteries was performed. In 2 cases the common superficial femoral artery was also occluded. The average length of occlusion was 6.2 cm. The time since the onset of occlusion symptoms was 1 to 12 months. The recanalization was performed by passing with hydrophilic guidewire and catheter through the occlusion,and then performing balloon angioplasty. In case of unsatisfying results, a stent was placed. Intra-arterial thrombolysis was not provisionally applied in any case.


RESULTS
56 arteries were recanalized, 2 intravascular procedures were not successful. 7 cases of complications occurred: 3 of peripheral embolia, 1 occlusion of internal iliac artery, 3 hematomas at the puncture site; none of them required surgical intervention.


CONCLUSIONS
Percutaneous endovascular recanalization is an efficient method of treatment in occlusion of iliac arteries.
Falkowski
Aleksander
A
Department of General and Dental Radiology, PMU, Szczecin, Poland. bakhis@mp.pl
Poncyliusz
Wojciech
W
Mokrzyński
Stanisław
S
Trojnacka
Beata
B
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents