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Giornale Italiano di Chirurgia Vascolare 2002 December;9(4):369-79

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English, Italian

Endovascular treatment of steno-obstructive le-sions of iliac arteries in 312 patients. Percutaneous transluminal angioplasty versus stenting in long-term patency

Bianchi P., Mainente A., Cusmai F., Casana R., Occhiuto M., Dalainas I., Stegher S., Nano G., Malacrida G., Tealdi G.

I Operating Unit and Department of Vascular Surgery «Edmondo Malan» Centre for the Study and Treatment of Cardiovascular Diseases Istituto Policlinico San Donato University of Milan, San Donato Milanese, Milan, Italy


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Back­ground. ­This ret­ro­spec­tive ­study exam­ines the ­long-­term ­results of per­cut­aneous trans­lu­minal angio­plasty (PTA) in the treat­ment of ­steno-obstruc­tive ­lesions of ­iliac ­arteries. It ­also com­pares the ­results of ­simple PTA ­versus PTA ­with ­stenting at 24 ­months.
­Methods. ­Between ­June 1997 and ­July 2001, 312 ­iliac PTA (249 ­males and 63 ­females) ­with and ­without ­stenting ­were per­formed at our Insti­tute. We ­studied ­short-­term and ­long-­term ­patency ­after a ­mean ­follow-up of 24 ­months, ­taking ­into ­account clin­ical ­results, objec­tive exam­ina­tion, ­duplex ultra­so­nog­raphy at 2, 6, 12 ­months and annu­ally, and arter­i­og­raphy in ­doubtful ­cases or ­with com­pli­ca­tions.
­Results. ­There was no sig­nif­i­cant dif­fer­ence in ­short-­term ­patency ­between the 2 ­types of pro­ce­dures. ­After a ­follow-up of 24 ­months (3-48 ­months) the cumu­la­tive ­rate of ­patency for ­simple PTA was 58.23%, ­while it was 78.54% for PTA ­with ­stenting, ­whether or not asso­ciated ­with sur­gery (intra­op­er­a­tive trans­lu­minal angio­plasty or ITA).
Con­clu­sions. ­Data ­obtained ­from our ­series con­cord ­with ­those ­reported in inter­na­tional lit­er­a­ture, ­which under­lines ­that PTA ­with ­stenting is a ­safer pro­ce­dure ­than ­simple PTA ­ensuring ­long-­term ­patency in the treat­ment of ­iliac dis­trict ­lesions, espe­cially of the ­common ­iliac ­artery. PTA ­with ­stenting can ­also be ­used ­with mul­tiple, ­long and com­plex ­lesions ­that ­simple PTA ­cannot ­resolve.

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