Open AccessTransluminal angioplasty of complete iliac obstructions
Author(s) -
Ronald F. Colapinto,
Stronell Rd,
W.H. Johnston
Publication year - 1986
Publication title -
american journal of roentgenology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.294
H-Index - 196
eISSN - 1546-3141
pISSN - 0361-803X
DOI - 10.2214/ajr.146.4.859
Subject(s) - medicine , iliac artery , surgery , balloon , angioplasty , catheter , internal iliac artery , radiology , complication , embolization , balloon catheter , common iliac artery , external iliac artery
Of 64 complete iliac obstructions, 50 (78%) were recanalized using the Gruntzig balloon catheter. Life-table analysis of the patency rate over a 4-year period gives a cumulative success rate of 78%. Only three of eight obstructions that involved both the common and external iliac arteries were successfully dilated. The only serious complication was distal embolization, which occurred in two cases (3.1%). Although the procedure is difficult, with a relatively low technical success rate, the high cumulative patency rate should make it an option in the treatment of all patients with totally occluded iliac artery segments.