Endovascular treatment |for aortoiliac occlusive disease
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R 654.3

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    Abstract:

    Objective:To explore the effect of endovascular treatment for aortoiliac 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 InterSociety 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 followup 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.

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QI Jiaxin| ZOU Ping, JIN Xing, ZHANG Shiyi, YUAN Hai, ZHANG Jingyong, HUANG Junr. Endovascular treatment |for aortoiliac occlusive disease[J]. Chin J Gen Surg,2010,19(6):597-601.
DOI:10.7659/j. issn.1005-6947.2010.06.001

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History
  • Received:April 05,2010
  • Revised:May 10,2010
  • Adopted:
  • Online: June 15,2010
  • Published: