Covered stent in endovascular treatment of aortoiliac occlusive disease

VernacularTitle:主髂动脉闭塞的覆膜支架介入治疗
Author: Junlai ZHAO ; Wei LI ; Xiaoming ZHANG ; Xuemin ZHANG ; Jingjun JIANG ; Yang JIAO
Publication Type:Journal Article
Keywords: Arterial occlusive diseases; Trombolytic therapy; Stents
From: Chinese Journal of General Surgery 2013;28(7):507-510
CountryChina
Language:Chinese
Abstract: Objective To evaluate the use of covered stent in endovascular treatment for aortoiliac occlusive disease.Method In this study45 cases [8 women,37 men; age range,38-94 years; mean age,(61 ± 12) years] of aortoiliac occlusive disease were reviewed,28 with intermittent claudication,11 with rest pain,6 with toe gangrene,including 22 unilateral iliac artery occlusions,8 unilateral occlusions combined with contralateral stenosis and 15 aorto-bilateral iliac artery occlusions.4 cases received catheter thrombolysis therapy for 3 days before stenting and the others received directly covered stent placement.Result Procedures were successful in all cases completed including 19 cases with one side covered stent and 26 cases with kissing covered stent.Limb ischemia was significantly relieved in all patients,only one case amputated because of infection.The mean follow-up period was (12 ±4) months (6 to 21 months).All stents were patent except one occlusion at 14 months due to bad outflow.The primary patency was 97.8％.Conclusions Covered stent can bring a satisfied results and outcomes in endovascular treatment of aortoiliac occlusive disease.