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《Chinese Journal of General Surgery》 2008-06
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Endovascular treatment for occlusion of iliac artery:analysis of the mid-term to long-term result and review of the technique

ZHOU Yubin,WU Danming,WANG Chenggang,YI Wei,JIA Qi,SUN Yuxin,ZHANG Likui(Department of Vascular Surgery,People's Hospital of Liaoning Province,Shenyang 110016,China)  
Objective To study the therapy effect and review of the technique of endovascular treatment for iliac artery occlusion.Methods Thirty-four patients with occlusion of iliac artery were treated with endovascular therapy.The technical success rate,complication rate,the mid-term to long-term results were analyzed.Results The technical success rate was 100%.Iliac artery rupture in one case(2.94%) and no other major intraoperative complication occurred.Ankle-brachial index increased from(0.40±0.14) to(0.81±0.13)(t=2.67,P=0.02).All patients were followed up with mean time(19.32±2.22) months(range from 3 to 42 months).Iliac artery re-stenosis occurred in seven cases and re-occlusion in 3 cases.The primary,primary-assisted and secondary patency rate was 86.27%,74.40%,61.81%,52.98%;96.43%,92.57%,85.96%,85.96% and 100%,100%,100%,100% at 6m,1,2,3 years after treatment,respectively.Conclusions Comprehensive application of "capturing guide wire" and other endovascular techniques can improve the success rate of recanalization of iliac artery occlusion.Maintenance of mid-term and long-term patency of endovascular treatment requires careful follow-up and prompt treatment of restenosis and reocclusion.
【CateGory Index】: R654.3
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