Primary stenting for complex atherosclerotic plaques in aortic and iliac stenoses

• Published in: Cardiovascular and interventional radiology Vol. 21; no. 5; pp. 386 - 392
• Main Authors: ÖNAL, B, ILGIT, E. T, YÜCEL, C, ÖZBEK, E, VURAL, M, AKPEK, S
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.09.1998; Berlin Springer Nature B.V
• Subjects: Aged; Aneurysm; Angiography; Angioplasty; Angioplasty - instrumentation; Angioplasty, Balloon; AORTA; Aorta, Abdominal; Arterial Occlusive Diseases - complications; Arterial Occlusive Diseases - diagnostic imaging; Arterial Occlusive Diseases - surgery; Arterial Occlusive Diseases - therapy; Arteriosclerosis; Arteriosclerosis - diagnostic imaging; Arteriosclerosis - etiology; Arteriosclerosis - surgery; Arteriosclerosis - therapy; Atherosclerosis; Balloon treatment; Biological and medical sciences; BIOLOGICAL RECOVERY; BIOMEDICAL RADIOGRAPHY; Calcification; Complications; Diseases of the cardiovascular system; Dissection; Embolization; Female; Follow-Up Studies; Humans; Iliac Artery; Implants; Lesions; Male; Medical imaging; Medical sciences; Middle Aged; MORPHOLOGY; Occlusion; PATIENTS; Plaques; Radiography; RADIOLOGY AND NUCLEAR MEDICINE; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Runoff; Segments; Stents; Treatment Outcome; Tropical medicine; VASCULAR DISEASES; Vascular Patency; Veins & arteries; Human; Endoprosthesis; Treatment efficiency; Instrumentation therapy; Stenosis; Cardiovascular disease; Stent; Iliac artery; Arterial disease; Vascular disease; Treatment; Atherosclerotic plaque; Aorta; Aortic disease
• ISSN: 0174-1551; 1432-086X
• DOI: 10.1007/s002709900285

To evaluate the efficacy of primary stenting for complex atherosclerotic plaques in aortic and iliac stenoses that are not amenable to balloon angioplasty alone. Nineteen patients with complex atherosclerotic plaques were treated with a Palmaz stent (n = 19), Wallstent (n = 1), Strecker stent (n = 1), or Memotherm stent (n = 1). A total of 22 stenoses presenting with complex plaque morphology including ulcerated plaques, ulcerated plaques with focal aneurysms, plaques with heavy calcification, severely eccentric plaques, plaques with overhanging edge, and plaques with spontaneous dissection were stented. The lesions were in the aorta (n = 1), common iliac artery (n = 19), or external iliac artery (n = 2). Immediate angiography after stent placement revealed restoration of patency of the stented segment. Focal aneurysms and ulcerated areas were occluded in the follow-up angiographies obtained 4-12 weeks after the procedure. In one case with poor distal runoff and multiple complex lesions of the iliac artery, subacute occlusion occurred. Clinical and angiographic follow-up (3-46 months) revealed patency of all other stented segments. Primary stenting is an effective and reliable approach for complex plaques in stenoses. Patency of the arterial segment with a smooth lumen can be created without the risk of acute complications such as distal embolization, dissection, or occlusion.