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External iliac artery stenting: High incidence of concomitant revascularization procedures

机译:外动脉支架置入术:伴随血运重建术的发生率很高

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摘要

Objectives: To review immediate results, patency rates, hemodynamic success, and incidence of concomitant procedures with external iliac artery stenting (EIAS). Methods: Demographic features, category and clinical grade, Trans-Atlantic Inter-Society Consensus II classification lesion type, pre- and postprocedure ankle-brachial indices, and primary patency were compared between group 1 (EIAS without distal revascularization) and group 2 (EIAS with concomitant distal revascularization). Results: No mortality and a 100% immediate technical success rate was recorded in group 1 (n = 12) and group 2 (n = 24). Eleven patients (30.6%) also had stenting of the adjacent common iliac artery. Two thirds of group 2 patients required concomitant femoral or distal revascularization. Conclusions: No difference in stent patency rates was found between patients in group 1 versus group 2. Patients requiring EIAS tend to have more diffuse arterial disease necessitating complicated open reconstruction and/or distal revascularization, as well as more proximal iliac stenting.
机译:目的:审查immediate外动脉支架置入术(EIAS)的即时结果,通畅率,血流动力学成功率和伴随手术的发生率。方法:比较第1组(无远端血运重建的EIAS)和第2组(EIAS)的人口统计学特征,类别和临床等级,跨大西洋社会间共识II分类病变类型,术前和术后踝臂指数以及原发通畅性。并伴有远端血运重建)。结果:第1组(n = 12)和第2组(n = 24)没有死亡,记录的技术成功率为100%。 11名患者(30.6%)也对相邻的common总动脉进行了支架植入术。第2组患者中有三分之二需要进行股骨或远端血运重建。结论:第1组与第2组的患者之间的支架通畅率没有差异。需要EIAS的患者倾向于发生更多的弥漫性动脉疾病,从而需要复杂的开放重建和/或远端血运重建,以及更多的proximal骨近端支架置入术。

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