Two-year outcome of the self-expandable stent for chronic total occlusion of the iliac artery.
To evaluate the 2-year results obtained with self-expandable stent for chronic total occlusion (CTO) of the iliac artery, a retrospective study was performed of patients who underwent endovascular therapy (EVT) for chronic iliac artery CTO who presented from April 2007 to September 2012. 82 patients with 86 occluded iliac arteries underwent successful recanalization and stenting with a self-expandable stent. The primary equivalence end point was a composite of restenosis, mortality, target vessel revascularization, and limb salvage rates. Patients were followed up with the presence of a palpable femoral artery pulse, resolution of symptoms, and noninvasive vascular laboratory testing reviewed at 1, 3, and 6 months after EVT and then were evaluated at 6-month intervals. In patients who gave consent, repeat angiography was done in sixty-one of 86 lesions (70.1 %) for follow-up. The mean follow-up was at 27.6 ± 17.8 months (range 3-60 months). All stents were placed in the true lumen under intravascular ultrasound (IVUS) guidance. There were no cases of peripheral embolization or iliac artery rupture after the procedure. The ankle-brachial index increased significantly from 0.55 ± 0.19 to 0.88 ± 0.17 (P < 0.001). The primary patency rate was 96.5 % at 2 years. The MLD immediately after the procedure was 5.10 ± 0.26 mm and increased significantly to 5.40 ± 0.28 mm at the period of follow-up angiography. The 2-year outcome of endovascular therapy with self-expandable stents for CTO of the iliac artery had an acceptable result.
Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi Tsurumiku, Yokohama City, Kanagawa, 260-0012, Japan, m_araki@tobu.saiseikai.or.jp.
Motoharu
M
Araki
Keisuke
K
Hirano
Masatsugu
M
Nakano
Yoshiaki
Y
Ito
Hiroshi
H
Ishimori
Masahiro
M
Yamawaki
Shinya
S
Sasaki
Hideyuki
H
Takimura
Yasunari
Y
Sakamoto
Takuro
T
Takama
Reiko
R
Tsukahara
Toshiya
T
Muramatsu
D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D002908:Chronic Disease; D019160:Endosonography; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery; D007866:Leg / Q000098:blood supply*; D008297:Male; D011184:Postoperative Period; D011474:Prosthesis Design; D012189:Retrospective Studies; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome