Traitement endovasculaire percutané des lésions oblitérantes du carrefour aorto-iliaque : résultats chez 28 patients

Content Provider	Semantic Scholar
Author	Mofid, R. Alfidja, Agaicha Chahid, T. Ravel, Anne Garcier, J. M. Prat, Alba Huix Boyer, Louis
Copyright Year	2004
Abstract	Resume Rapporter retrospectivement les resultats a court et moyen termes du traitement endoluminal de lesions obstructives concernant a la fois la terminaison aortique et l’origine des iliaques chez 28 patients. Materiels et methodes Vingt-huit patients dont 9 femmes (âge moyen 57,5 ans) etaient affectes de 52 lesions obstructives atheromateuses du carrefour aorto-iliaque, se repartissant d’une part en 3 groupes topographiques (lesions ostiales unilaterales : 9, lesions ostiales bilaterales : 19, lesions aortiques terminales etendues : 5), d’autre part en lesions simples (44 %) et complexes (plus de 2 cm et/ou calcifiees et/ou excentriques : 56 %). Resultats On observait 93 % de succes techniques, au prix simplement d’un hematome au point de ponction. Les permeabilites primaires et secondaires s’elevaient a 78,9 % et 93 %, apres 50 mois en moyenne (4 a 85). Les resultats cliniques restaient satisfaisants a ce terme pour tous les succes techniques, mais le taux d’asymptomatiques etait plus eleve chez les patients stentes (84 %) qu’apres ballon simple (49 %). Conclusion Le traitement percutane des lesions obstructives du carrefour aorto-iliaque, peut etre propose en premiere intention quand il est possible. Objective We conducted a retrospective analysis of short- and mid-term results of endoluminal treatment of obstruction lesions involving the terminal aorta and the initial portions of the iliac arteries in 28 patients. Patients and methods Twenty-eight patients (9 women, 19 men, mean age 57.5 years) presented 52 obstructive atheromatous lesions of the aorto-iliac bifurcation. The lesions were divided into three topographic groups (9 unilateral lesions, 19 bilateral ostial lesions, 5 widespread lesions of the terminal aorta) and identified as simple (44%) or complex (56%, more than 2 cm in length and/or calcified and/or eccentric). Results Technical success was achieved in 93% of the cases with only one hematoma of the puncture site. Primary and secondary patencies were 78.9% and 93% after a mean follow-up of 50 months (range 4-85). Clinical outcome remained good at this term for all cases of technical success but complete resolution of the symptoms was more frequent when a stent was used (84%) than for simple balloon dilatation (49%). Conclusion Percutaneous treatment of obstructive lesions of the aorto-iliac bifurcation may be proposed when possible as a first-line treatment.
Starting Page	21
Ending Page	26
Page Count	6
File Format	PDF HTM / HTML
DOI	10.1016/S0398-0499(04)96708-X
Volume Number	29
Alternate Webpage(s)	https://www.elsevier.fr/showarticlefile/125033/pdf_58179.pdf
Alternate Webpage(s)	https://www.em-consulte.com/showarticlefile/125033/pdf_58179.pdf
Alternate Webpage(s)	https://doi.org/10.1016/S0398-0499%2804%2996708-X
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article