Endovascular treatment for TASC C and D aortoiliac occlusive diseases
- VernacularTitle:TASC C型和D型主髂动脉闭塞的腔内治疗及评价
- Author:
Hai YUAN
;
Xing JIN
;
Shiyi ZHANG
;
Zhenyue ZHONG
;
Xuejun WU
;
Feng LIN
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Vascular surgical procedures;
Endovasculartreatment,interventional
- From:
Chinese Journal of General Surgery
2008;23(12):963-965
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the endovascular treatment of diffuse aortoiliac occlusive diseases. Methods Thirty-two patients underwent endovascular treatment in which rest pain was found in 84.38%, foot local gangrene in 15.62%. Mean age was 69.7 years (range, 52 years to 81 years) and 71.9% was male. Trans Atlantic Inter-Society Consensus C and D disease was respectively in 40.6% and 59.4% patients. Mean length of vasculopathy was (14.6 ± 1.2) cm (range, 4.5 cm to 19.5 cm) All patients had prohibitive risk for open revascularization. With the approach from femoral artery or brachial artery, combined techniques, such as recanahzation, balloon dilation, stent placement and concomitant common femoral endarterectomy were used. Results Technical success was achieved in twenty-nine patients(90.63%). The complication rate was 3.45%. Clinical status was markedly improved in eight cases (27.59%) and moderately improved in twenty-one cases(72.41%). Mean postoperative ABI was 0.73 ± 0.12, mean preoperative ABI was 0.32 ± 0.09. Significant differences were seen between postoperative ABI and preoperative ABI(P<0.05). Mean time of follow-up was (13.9±6.2) months. At 6 months, primary patency was 81.82% and secondary patency was 89.09%. At 12 months, primary patency was 63.64% and secondary patency was 80.18%. Conclusion Combined multiple endovascular technique is a safe and effective method in the treatment of poor risk diffuse aortoiliac occlusive diseases.
