Abstract:Objective:To explore the effect of endovascular treatment for aortoiliac occlusive disease (AIOD).
Methods:The clinical data of 113 patients with AIOD, who underwent endovascular treatment, were retrospectively analyzed.The patients’mean age was 62.5 years (range, 45 to 81 years);79 patients (69.9%) were men and 39 women.According to the Trans Atlantic InterSociety Consensus classfication, type A, B,C and D disease was respectively present in 37.17%,34.51%,11.50% and 16.81% of patients. With the approach from femoral artery or brachial artery, combined techniques, such as recanalization, balloon dilation, stent placement and concomitant common femoral endarterectomy, were applied in the treatment.
Results:Technical success was achieved in 107 patients(94.7%). Clinical status was moderately improved in 39 cases and markedly improved in 68 cases. Mean time of followup was (26±2.3) months. At 6 months, primary patency of the occlusive artery was 82.76%, and secondary patency was 92.31%. At 12 months, primary patency was 76.21%and secondary patency was 81.67%. At 24 months, primary patency was 67.66% and secondary patency was 73.62%.
Conclusions:Combined multiple endovascular techniques are safe and effective methods in treatment of aortoiliac occlusive disease.