Article Sidebar

PDF
Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 107
Views PDF: 92
DOI: https://doi.org/10.55046/vjrnm.8.256.2012
Issue
No. 8 (2012)
Section
Scientific research
How to Cite
Dao, D. V., & Pham, M. T. (2022). The short-term primary patency of endovascular intervention in recanalrization of chronic iliac arterial occluded diseases. Vietnamese Journal of Radiology and Nuclear Medicine, 8, 269-275. https://doi.org/10.55046/vjrnm.8.256.2012

The short-term primary patency of endovascular intervention in recanalrization of chronic iliac arterial occluded diseases

Dr Dao Danh Vinh1, professor Pham Minh Thong1
1 Imaging dept - Bach Mai Hospital

Main Article Content

Abstract

Purpose: to evaluate the short-term primary patency of endovascular intervention in recanalrization of chronic iliac arterial
occluded diseases. Method and materials: prospective study, group of 21 patients with diagnosis of chronic occlusion of iliac arteries in Bach Mai hospital from 9/2011 to 6/2012. The patients were indicated to do revascularization by endovascular intervention.
Result: 21 patients with 28 iliac arteries which were treated by endovascular intervention including percutaneous angioplasty
alone and Stenting. Arterial access were performed at common femoral arteries bilateral (retrograde) in 100%, including one
failed case that required second intervention by brachial arterial access. No complication relates arterial access. There are 89,3% procedures of stenting with angioplasty post-Stenting and 100% completed deployment of stents. No complication of angioplasty and stent deployment such as arterial rupture or perforation. The success rate of recanalrization is 96% with 96% successful rate in the first approach to cross the over the occlusion. No required 2nd reintervention in duration of follow up from 1 to 6 months, 100% of case with improved intermittent claudication and ABI.
Conclusion: the initial results confirm that the endovascular intervention is a safe, effective method in the goal of recanalrization
of chronic occluded iliac arteries.

Article Details

References

1. Becker GJ, Katzen BT, Dake MD. Noncoronary angioplasty. Radiology. 1989;170(3 pt 2):921–940.
2. Bosch JL, Hunink MG. Meta-analysis of the results of percutaneous transluminal angioplasty and stent placement for aortoiliac occlusive disease. Radiology. 1997;204:87–96.
3. Brewster DC. Current controversies in the management of aortoiliac occlusive disease. J Vasc Surg. 1997;25:365–379
4. De Vries SO, Hunink MG. Results of aortic bifurcation grafts for aor-toiliac occlusive disease: a meta-analysis. J Vasc Surg. 1997;26:558–569.
5. Dotter CT, Judkins MP. Transluminal treatment of arteriosclerotic obstruction: description of a new technic and a preliminary report of its application. Circulation. 1964;30:654–670.
6. Hans, S. S., DeSantis, D., Siddiqui, R., and Khoury, M. (2008) Results of endovascular therapy and aortobifemoral grafting for Transatlantic Inter-Society type C and D aortoiliac occlusive disease, Surgery 2008; 144, 583-589; discussion 589-590.
7. Kannel WB, et al.. Intermittent claudication: incidence in the Framingham Study. Circulation. 1970;41:875-883.
8. Murphy TP, et al.. Aortoiliac insufficiency: longterm experience with stent placement for treatment. Radiology. 2004;231:243–249.
9. Palmaz JC, et al.. Placement of balloonexpandable intraluminal stents in iliac arteries: first 171 procedures. Radiology. 1990;174(3 pt 2):969–975.
10. Pentecost MJ, et al.. Guidelines for peripheral percutaneous translu-minal angioplasty of the abdominal aorta and lower extremity vessels. A
statement for health professionals from a Special Writing Group of the Councils on Cardiovascular Radiology, Arteriosclerosis, Cardio-Thoracic and Vascular Surgery, Clinical Cardiology, and Epidemiology and Prevention, the American Heart Association. J Vasc Interv Radiol. 2003;14(9 pt 2):S495–S515.