Percutaneous transluminal dilatation of the iliac artery: long-term results.

Background: To evaluate safety, short and long-term graft patency, clinical success rates, and factors associated with patency, limb salvage and mortality after surgical reconstruction in patients younger than 50 years of age who had undergone unilateral iliac artery bypass surgery. Patients and methods: From January 2000 to January 2010, 65 consecutive reconstructive vascular operations were performed in 22 women and 43 men of age < 50 years with unilateral iliac atherosclerotic lesions and claudication or chronic limb ischemia. All patients were followed at 1, 3, 6, and 12 months after surgery and every 6 months thereafter. Results: There was in-hospital vascular graft thrombosis in four (6.1 %) patients. No in-hospital deaths occurred. Median follow-up was 49.6 ± 33 months. Primary patency rates at 1-, 3-, 5-, and 10-year were 92.2 %, 85.6 %, 73.6 %, and 56.5 %, respectively. Seven patients passed away during follow-up of which four patients due to coronary artery disease, two patients due to cerebrovascular disease and one patient due to malignancy. Limb salvage rate after 1-, 3-, 5-, and 10-year follow-up was 100 %, 100 %, 96.3 %, and 91.2 %, respectively. Cox regression analysis including age, sex, risk factors for vascular disease, indication for treatment, preoperative ABI, lesion length, graft diameter and type of pre-procedural lesion (stenosis/occlusion), showed that only age (beta - 0.281, expected beta 0.755, p = 0.007) and presence of diabetes mellitus during index surgery (beta - 1.292, expected beta 0.275, p = 0.026) were found to be significant predictors of diminishing graft patency during the follow-up. Presence of diabetes mellitus during index surgery (beta - 1.246, expected beta 0.291, p = 0.034) was the only variable predicting mortality. Conclusions: Surgical treatment for unilateral iliac lesions in patients with premature atherosclerosis is a safe procedure with a low operative risk and acceptable long-term results. Diabetes mellitus and age at index surgery are predictive for low graft patency. Presence of diabetes is associated with decreased long-term survival.

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Long-term Results of Percutaneous Transluminal Angioplasty for Symptomatic Iliac In-stent Stenosis

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2006.06.004 ◽

2006 ◽

Vol 32 (6) ◽

pp. 634-638 ◽

Cited By ~ 9

Author(s):

R.H.J. Kropman ◽

M. Bemelman ◽

J.A. Vos ◽

J.C. van den Berg ◽

H.D.W.M. van de Pavoordt ◽

...

Keyword(s):

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Long Term Results ◽

Percutaneous Transluminal ◽

Stent Stenosis

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Percutaneous transluminal atherectomy of the superficial femoral and popliteal arteries: Long-term results in 48 patients

CardioVascular and Interventional Radiology ◽

10.1007/bf00203949 ◽

1994 ◽

Vol 17 (6) ◽

pp. 312-318 ◽

Cited By ~ 14

Author(s):

Scott J. Savader ◽

Anthony C. Venbrux ◽

Sally E. Mitchell ◽

Scott O. Trerotola ◽

Mei-Cheng Wang ◽

...

Keyword(s):

Long Term Results ◽

Percutaneous Transluminal

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Abstract O.73: Long-term Results Of Percutaneous Transluminal Coronary Rotational Atherectomy For Localized Stenosis Caused By Kawasaki Disease

Circulation ◽

10.1161/circ.131.suppl_2.o73 ◽

2015 ◽

Vol 131 (suppl_2) ◽

Author(s):

Etsuko Tsuda ◽

Shinsuke Hoshino ◽

Yasuhide Asaumi ◽

Yosuke Hayama ◽

Osamu Yamada

Keyword(s):

Kawasaki Disease ◽

Graft Patency ◽

Rotational Atherectomy ◽

Long Term Results ◽

Cardiac Events ◽

Main Trunk ◽

One Year ◽

Percutaneous Transluminal ◽

Localized Stenosis

We report the results of percutaneous transluminal coronary rotational atherectomy (PTCRA) for localized stenosis caused by Kawasaki disease (KD). Thirteen male and a female, aged 5 to 29 years (median 13 years), underwent PTCRA and the interval from the PTARA to the latest angiogram ranged from 3 months to 16 years (median 6 years). The target vessels were the left anterior descending artery (3 patients), the left circumflex (2), left main trunk (2) and the right coronary artery (7). The immediate results of PTCRA were successful in all patients, and the mean stenosis degree improved from 86 ± 11% to 36 ± 13%. Five cardiac events occurred within one year (acute myocardial infarction 2, transient complete atrioventricular block 1 and re-PTCRA 2). The survival rate and cardiac event free rate at 15 years after PTCRA were 93% and 71%, respectively. For the graft patency, 4 pts who underwent PTCRA within 10 yeas old, had asymptomatic occlusion within 1 year. The patency rate at 15 years after PTCRA was 69%, in 10 pts who underwent it more than 10 years old. Cardiac events and restenosis occurred within a year after PTCRA. The results in patients less than 10 years old was poor. If a graft is patent in one year after procedure, long-term patency may be expected in patients more than 10 years old.

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