Endovascular Therapy for TASC-ⅡC/D Lesion of Iliac Artery Occlusion_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHENGJiang-hua , CHENKai , CHENZhi-long , WANGHai-fei , YONGXi , ZHUYan-bin

Department of Vascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China;

Corresponding author：

ZHENGJiang-hua, Email: zhengjianghua@126.com

Keywords：

Iliac artery occlusion; Endovascular treatment; Therapeutic effect

DOI：

10.7507/1007-9424.20150058

Video：

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Objective To investigate the therapeutic effect of endovascular therapy for TASC-ⅡC/D lesion of iliac artery occlusion. Method The clinical data of 25 patients (28 limbs) who underwent endovascular therapy for TASC-ⅡC/D lesions of iliac artery occlusion were reviewed retrospectively. Results Two limbs failed to recanalize the occlusions, recanalization rate was 92.86%. Twenty-six iliac arteries were successfully treated by percutaneous transluminal angioplasty and implanted stent. The ankle-brachial index increased from preoperative 0.23±0.18 to postoperative 0.76 ±0.19 (P < 0.05). Two patients had hematomas in puncture point, which were improved by conservative treatment. One patient had thrombosis in stent, which was disappeared by local thromblysis after thrombolytic catheter placement. Twenty patients (24 iliac arteries) were followed up for a mean time of 8 months (3-24 months). The follow-up rate was 85.71%. The limb patency rates of 6 months, 1-and 2-year was 85%, 80% and 73%, respectively. Conclusion Endovascular therapy for TASC-ⅡC/D lesion of iliac artery occlusion is safe and has a good short-term therapeutic effect, microtrauma and little complications.

Citation： ZHENGJiang-hua, CHENKai, CHENZhi-long, WANGHai-fei, YONGXi, ZHUYan-bin. Endovascular Therapy for TASC-ⅡC/D Lesion of Iliac Artery Occlusion. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(2): 216-219. doi: 10.7507/1007-9424.20150058 Copy

1.	李贝贝, 刘兆玉.主髂动脉闭塞症介入治疗的进展.中国医学影像技术, 2014, 30(12): 1921-1924.
2.	Norgren L, Hiatt WR, Dormandy JA, et al; TASCⅡWorking Group.Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASCⅡ). J Vasc Surg, 2007, 45 Suppl S: S5-S67.
3.	包俊敏.下肢动脉闭塞性疾病腔内治疗进展.中国普外基础与临床杂志, 2010, 17(17): 645-648.
4.	Indes JE, Pfaff MJ, Farrokhyar F, et al. Clinical outcomes of 5 358 patients undergoing direct open bypass or endovascular treatment for aortoiliac occlusive disease: a systematic review and meta-analysis. J Endovasc Ther, 2013, 20(4): 443-455.
5.	Bosch JL, Hunink MG. Meta-analysis of the results of percutaneous transluminal angioplasty and stent placement for aortoiliac occlusive disease. Radiology, 1997, 204(1): 87-96.
6.	Leville CD, Kashyap VS, Clair DG, et al. Endovascular management of iliac artery occlusions: extending treatment to TransAtlantic Inter-Society Consensus class C and D patients. J Vasc Surg, 2006, 43(1): 32-39.
7.	Sixt S, Alawied AK, Rastan A, et al. Acute and long-term outcome of endovascular therapy for aortoiliac occlusive lesions stratified according to the TASC classification: a single-center experience. J Endovasc Ther, 2008, 15(4): 408-416.
8.	Koizumi A, Kumakura H, Kanai H, et al. Ten-year patency and factors causing restenosis after endovascular treatment of iliac artery lesions. Circ J, 2009, 73(5): 860-866.
9.	Balzer JO, Gastinger V, Ritter R, et al. Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions. Eur Radiol, 2006, 16(1): 124-131.
10.	Ichihashi S, Higashiura W, Itoh H, et al. Long-term outcomes for systematic primary stent placement in complex iliac artery occlusive disease classified according to Trans-Atlantic Inter-Society Consensus (TASC)-Ⅱ. J Vasc Surg, 2011, 53(4): 992-999.
11.	Chen BL, Holt HR, Day JD, et al. Subintimal angioplasty of choronc total occlusion in iliac arteries:A safe and durable option. J Vasc Surg, 2011, 53(2): 367-373.
12.	Bekken JA, Jongsma H, de Vries JP, et al. Self-expanding stents and aortoiliac occlusive disease: a review of the literature. Med Devices (Auckl), 2014, 7: 99-105.
13.	Grimme FA, Spithoven JH, Zeebregts CJ, et al. Midterm outcome of balloon-expandable polytetrafluoroethylene-covered stents in the treatment of iliac artery chronic occlusive disease. J Endovasc Ther, 2012, 19(6): 797-804.
14.	Grimme FA, Goverde PA, Van Oostayen JA, et al. Covered stents for aortoiliac reconstruction of chronic occlusive lesions. J Cardiovasc Surg (Torino), 2012, 53(3): 279-289.
15.	Yilmaz S, Sindel T, Golbasi I, et al. Aortoiliac kissing stents: long-term results and analysis of risk factors affecting patency. J Endovasc Ther, 2006, 13(3): 291-301.
16.	郭伟.腔内血管外科学.北京:人民军医出版社, 2011: 343-344.
17.	Kaneoka Y, Maeda A, Sugimoto M, et al. Quality of life and the venous function of the lower limb after harvest of autologous external iliac vein grafts: a clinical follow-up study. Surg Today, 2013, 43(11): 1254-1260.
18.	Miyamoto N, Kawasaki R, Fukuda T, et al. Endovascular treatment for unilateral chronic total occlusions of the iliac artery categorized as TASCⅡtype D lesions. Surg Today, 2014, 35(4): 782-786.
19.	袁海, 金星, 张十一, 等. TASC C型和D型主髂动脉闭塞的腔内治疗及评价.中华普通外科杂志, 2008, 23(12): 963-965.
20.	吴丹明.主髂动脉闭塞症的腔内治疗.中国实用外科杂志, 2009, 29(11): 896-899.
21.	吴丹明, 张立魁. TASCC、D级髂动脉病变的腔内治疗.中国血管外科杂志:电子版, 2011, 3(2): 91-93.
22.	Ozkan U, Oguzkurt L, Tercan F. Technique, complication, and long-term outcome for endovascular treatment of iliac artery occlusion. Cardiovasc Intervent Radiol, 2010, 33(1): 18-24.
23.	Gandini R, Fabiano S, Chiocchi MA, et al. Percutaneous treatment in iliac artery occlusion: Long-term results. Cardiovasc Intervent Radiol, 2008, 31(6): 1069-1076.
24.	Carnevale FC, De Blas M, Merino S, et al. Percutaneous endovascular treatment of chronic iliac artery occlusion. Cardiovasc Intervent Radiol, 2004, 27(5): 447-452.
25.	Uher P, Nyman U, Lindh M, et al. Long-term results of stenting for chronic iliac artery occlusion. J Endovasc Ther, 2002, 9(1): 67-75.

1. 李贝贝, 刘兆玉.主髂动脉闭塞症介入治疗的进展.中国医学影像技术, 2014, 30(12): 1921-1924.
2. Norgren L, Hiatt WR, Dormandy JA, et al; TASCⅡWorking Group.Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASCⅡ). J Vasc Surg, 2007, 45 Suppl S: S5-S67.
3. 包俊敏.下肢动脉闭塞性疾病腔内治疗进展.中国普外基础与临床杂志, 2010, 17(17): 645-648.
4. Indes JE, Pfaff MJ, Farrokhyar F, et al. Clinical outcomes of 5 358 patients undergoing direct open bypass or endovascular treatment for aortoiliac occlusive disease: a systematic review and meta-analysis. J Endovasc Ther, 2013, 20(4): 443-455.
5. Bosch JL, Hunink MG. Meta-analysis of the results of percutaneous transluminal angioplasty and stent placement for aortoiliac occlusive disease. Radiology, 1997, 204(1): 87-96.
6. Leville CD, Kashyap VS, Clair DG, et al. Endovascular management of iliac artery occlusions: extending treatment to TransAtlantic Inter-Society Consensus class C and D patients. J Vasc Surg, 2006, 43(1): 32-39.
7. Sixt S, Alawied AK, Rastan A, et al. Acute and long-term outcome of endovascular therapy for aortoiliac occlusive lesions stratified according to the TASC classification: a single-center experience. J Endovasc Ther, 2008, 15(4): 408-416.
8. Koizumi A, Kumakura H, Kanai H, et al. Ten-year patency and factors causing restenosis after endovascular treatment of iliac artery lesions. Circ J, 2009, 73(5): 860-866.
9. Balzer JO, Gastinger V, Ritter R, et al. Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions. Eur Radiol, 2006, 16(1): 124-131.
10. Ichihashi S, Higashiura W, Itoh H, et al. Long-term outcomes for systematic primary stent placement in complex iliac artery occlusive disease classified according to Trans-Atlantic Inter-Society Consensus (TASC)-Ⅱ. J Vasc Surg, 2011, 53(4): 992-999.
11. Chen BL, Holt HR, Day JD, et al. Subintimal angioplasty of choronc total occlusion in iliac arteries:A safe and durable option. J Vasc Surg, 2011, 53(2): 367-373.
12. Bekken JA, Jongsma H, de Vries JP, et al. Self-expanding stents and aortoiliac occlusive disease: a review of the literature. Med Devices (Auckl), 2014, 7: 99-105.
13. Grimme FA, Spithoven JH, Zeebregts CJ, et al. Midterm outcome of balloon-expandable polytetrafluoroethylene-covered stents in the treatment of iliac artery chronic occlusive disease. J Endovasc Ther, 2012, 19(6): 797-804.
14. Grimme FA, Goverde PA, Van Oostayen JA, et al. Covered stents for aortoiliac reconstruction of chronic occlusive lesions. J Cardiovasc Surg (Torino), 2012, 53(3): 279-289.
15. Yilmaz S, Sindel T, Golbasi I, et al. Aortoiliac kissing stents: long-term results and analysis of risk factors affecting patency. J Endovasc Ther, 2006, 13(3): 291-301.
16. 郭伟.腔内血管外科学.北京:人民军医出版社, 2011: 343-344.
17. Kaneoka Y, Maeda A, Sugimoto M, et al. Quality of life and the venous function of the lower limb after harvest of autologous external iliac vein grafts: a clinical follow-up study. Surg Today, 2013, 43(11): 1254-1260.
18. Miyamoto N, Kawasaki R, Fukuda T, et al. Endovascular treatment for unilateral chronic total occlusions of the iliac artery categorized as TASCⅡtype D lesions. Surg Today, 2014, 35(4): 782-786.
19. 袁海, 金星, 张十一, 等. TASC C型和D型主髂动脉闭塞的腔内治疗及评价.中华普通外科杂志, 2008, 23(12): 963-965.
20. 吴丹明.主髂动脉闭塞症的腔内治疗.中国实用外科杂志, 2009, 29(11): 896-899.
21. 吴丹明, 张立魁. TASCC、D级髂动脉病变的腔内治疗.中国血管外科杂志:电子版, 2011, 3(2): 91-93.
22. Ozkan U, Oguzkurt L, Tercan F. Technique, complication, and long-term outcome for endovascular treatment of iliac artery occlusion. Cardiovasc Intervent Radiol, 2010, 33(1): 18-24.
23. Gandini R, Fabiano S, Chiocchi MA, et al. Percutaneous treatment in iliac artery occlusion: Long-term results. Cardiovasc Intervent Radiol, 2008, 31(6): 1069-1076.
24. Carnevale FC, De Blas M, Merino S, et al. Percutaneous endovascular treatment of chronic iliac artery occlusion. Cardiovasc Intervent Radiol, 2004, 27(5): 447-452.
25. Uher P, Nyman U, Lindh M, et al. Long-term results of stenting for chronic iliac artery occlusion. J Endovasc Ther, 2002, 9(1): 67-75.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Endovascular Therapy for TASC-ⅡC/D Lesion of Iliac Artery Occlusion

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