ISSN:
1432-1084
Schlagwort(e):
Arteries
;
Stents
;
Atherosclerotic occlusive disease
;
Aortic bifurcation
;
Percutaneous transluminal angioplasty
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Notizen:
Abstract Eighteen patients with atherosclerotic disease of the aorto-iliac bifurcation were treated with percutaneously implantable, balloon expandable tantalum stents. Stenting indications were percutaneous transluminal angioplasty (PTA) —resistant stenoses and long aorto-iliac occlusions. The vascular prostheses were inserted by bilateral femoral approach and dilated simultaneously, their proximal parts being deployed in parallel in the aorta and their distal parts anchored in the common iliac arteries (kissing-stent method). In aorto-iliac occlusions, local fibrinolysis was used to facilitate guide wire passage. Within 20 months (the duration of longest observation), no major acute or late complications occurred. Clinical symptoms improved immediately in all patients. Deterioration of clinical symptoms during the follow-up period was observed in five patients and was due to additional, newly developed atherosclerotic disease located distally, the bifurcation stents remaining patent. This new type of non-invasive procedure can be regarded a safe and efficous alternative to vascular surgery, especially in poor surgical candidates.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1007/BF00169603
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