Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent

Background: Percutaneous transluminal angioplasty is a well established treatment method for aorto iliac stenoses. However its success is limited in arterial occlusions and vascular stent placement can improve the results. Aim: To assess the effectiveness of percutaneous revascularization with stent...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Fava P,Mario, Loyola Z,M Soledad
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1999
Materias:	Arterial occlusive diseases Percutaneous transluminal angioplasty Stents
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999000800002
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98871999000800002
record_format	dspace
spelling	oai:scielo:S0034-988719990008000022005-11-14Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de StentFava P,MarioLoyola Z,M Soledad Arterial occlusive diseases Percutaneous transluminal angioplasty Stents Background: Percutaneous transluminal angioplasty is a well established treatment method for aorto iliac stenoses. However its success is limited in arterial occlusions and vascular stent placement can improve the results. Aim: To assess the effectiveness of percutaneous revascularization with stent placement in patients with chronic iliac artery occlusions. Patients and methods: twenty six patients (18 male) aged 47 to 82 years, with iliac artery occlusions lasting six or more weeks were treated. Fourteen had involvement of common iliac artery, five had involvement of external iliac artery and seven of both. The occluded segment length ranged from 3.5 to 12 cm. According to the Society of Cardiovascular Surgery/International Society for Cardiovascular Surgery classification, 22 patients had category 1 claudication, 10 were in category 2, 12 in category 3 and two in category 4. Results: A technical success was obtained in 23 patients and clinical success in 21. After the intervention, the anklearm index improved from 0.49 ± 0.12 to 0.88 ± 0.18 (p < 0.001). Permeability after 12 months of follow up was 81% and after 36 months, 65%. Four patients had complications; one had a vascular perforation, two had an acute occlusion and one had an asymptomatic distal embolization. All these were solved using endovascular techniques. Conclusions: Percutaneous revascularization with stent placement is a valid alternative to surgery in selected patients with chronic iliac artery occlusion.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.127 n.8 19991999-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999000800002es10.4067/S0034-98871999000800002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Arterial occlusive diseases Percutaneous transluminal angioplasty Stents
spellingShingle	Arterial occlusive diseases Percutaneous transluminal angioplasty Stents Fava P,Mario Loyola Z,M Soledad Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent
description	Background: Percutaneous transluminal angioplasty is a well established treatment method for aorto iliac stenoses. However its success is limited in arterial occlusions and vascular stent placement can improve the results. Aim: To assess the effectiveness of percutaneous revascularization with stent placement in patients with chronic iliac artery occlusions. Patients and methods: twenty six patients (18 male) aged 47 to 82 years, with iliac artery occlusions lasting six or more weeks were treated. Fourteen had involvement of common iliac artery, five had involvement of external iliac artery and seven of both. The occluded segment length ranged from 3.5 to 12 cm. According to the Society of Cardiovascular Surgery/International Society for Cardiovascular Surgery classification, 22 patients had category 1 claudication, 10 were in category 2, 12 in category 3 and two in category 4. Results: A technical success was obtained in 23 patients and clinical success in 21. After the intervention, the anklearm index improved from 0.49 ± 0.12 to 0.88 ± 0.18 (p < 0.001). Permeability after 12 months of follow up was 81% and after 36 months, 65%. Four patients had complications; one had a vascular perforation, two had an acute occlusion and one had an asymptomatic distal embolization. All these were solved using endovascular techniques. Conclusions: Percutaneous revascularization with stent placement is a valid alternative to surgery in selected patients with chronic iliac artery occlusion.
author	Fava P,Mario Loyola Z,M Soledad
author_facet	Fava P,Mario Loyola Z,M Soledad
author_sort	Fava P,Mario
title	Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent
title_short	Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent
title_full	Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent
title_fullStr	Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent
title_full_unstemmed	Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent
title_sort	recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de stent
publisher	Sociedad Médica de Santiago
publishDate	1999
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999000800002
work_keys_str_mv	AT favapmario recanalizacionpercutaneadeoclusionescronicasdearteriasiliacasconinstalacionprimariadestent AT loyolazmsoledad recanalizacionpercutaneadeoclusionescronicasdearteriasiliacasconinstalacionprimariadestent
_version_	1718435872827768832

Recanalización percutánea de oclusiones crónicas de arterias ilíacas con instalación primaria de Stent

Ejemplares similares