Skip to main content

Endovascular Intervention in the Aortoiliac Arteries: Treatment Strategies and Management of Complications

  • Chapter
  • First Online:
Endovascular Interventions

Abstract

Endovascular intervention in the aortic–pelvic arteries is associated with a high interventional success rate and promising long-term outcome even in lesions with difficult morphology or long length. With some limitation, the endovascular approach can be recommended in experienced centers as first-line treatment not only in TASC II A and B lesions but also in TASC II C and D lesions, although TASC II C and D lesions can be technically more challenging. Most studies are limited on analysis of the endovascular therapy of iliac arteries, whereas others extend it to interventions in the aortoiliac artery territory. Krankenberg et al. demonstrated feasibility of endovascular intervention including reconstruction of the distal aorta and aortic bifurcation (TASC II D equivalent) with excellent interventional outcome.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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;15:408–16.

    Article  PubMed  Google Scholar 

  2. Tetteroo E, van der Graaf Y, Bosch JL, et al. Randomised comparison of primary stent placement versus primary angioplasty followed by selective stent placement in patients with iliac-artery occlusive disease. Dutch Iliac Stent Trial Study Group. Lancet. 1998;351:1153–9.

    Article  PubMed  CAS  Google Scholar 

  3. Krankenberg H, Schlüter M, Schwencke C, Walter D, Pascotto A, Sandstede J, et al. Endovascular reconstruction of the aortic bifurcation in patients with Leriche syndrome. Clin Res Cardiol. 2009;98(10):657–64. Epub 2009 Aug 14.

    Article  PubMed  Google Scholar 

  4. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg. 2007;45:5–67.

    Article  Google Scholar 

  5. de Vries SO, Hunink MG. Results of aortic bifurcation grafts for aortoiliac occlusive disease: a meta-analysis. J Vasc Surg. 1997;26:558–69.

    Article  PubMed  Google Scholar 

  6. Matsi PJ, Manninen HI. Complications of lower-limb percutaneous transluminal angioplasty: a prospective analysis of 410 procedures on 295 consecutive patients. Cardiovasc Intervent Radiol. 1998;21:361–6.

    Article  PubMed  CAS  Google Scholar 

  7. 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;16:124–31.

    Article  PubMed  Google Scholar 

  8. Mwipatavi BP, Thomas S, Wong J, Temple SE, Vijayan V, Burrows SA, et al. A comparison of covered vs bare expandable stents for the treatment of aortoiliac occlusive disease. J Vasc Surg. 2011;54(6):1561–70.

    Article  Google Scholar 

  9. Johnston KW. Iliac arteries: reanalysis of results of balloon angioplasty. Radiology. 1993;186:207–12.

    PubMed  CAS  Google Scholar 

  10. Scheinert D, Schroder M, Ludwig J, et al. Stent-supported recanalization of chronic iliac artery occlusions. Am J Med. 2001;110:708–15.

    Article  PubMed  CAS  Google Scholar 

  11. Haulon S, Mounier-Vehier C, Gaxotte V, et al. Percutaneous reconstruction of the aortoiliac bifurcation with the “kissing stents” technique: long-term follow-up in 106 patients. J Endovasc Ther. 2002;9:363–8.

    Article  PubMed  Google Scholar 

  12. Kudo T, Chandra FA, Ahn SS. The effectiveness of percutaneous transluminal angioplasty for the treatment of critical limb ischemia: a 10-year experience. J Vasc Surg. 2005;41:423–35.

    Article  PubMed  Google Scholar 

  13. Cwikiel W. Restenosis after balloon angioplasty and/or stent insertion – origin and prevention. Acta Radiol. 2002;43:442–54.

    Article  PubMed  CAS  Google Scholar 

  14. Palmaz JC, Laborde JC, Rivera FJ, Encarnacion CE, Lutz JD, Moss JG. Stenting of the iliac arteries with the Palmaz stent: experience from a multicenter trial. Cardiovasc Intervent Radiol. 1992;15:291–7.

    Article  PubMed  CAS  Google Scholar 

  15. Murphy KD, Encarnacion CE, Le VA, Palmaz JC. Iliac artery stent placement with the Palmaz stent: follow-up study. J Vasc Interv Radiol. 1995;6:321–9.

    Article  PubMed  CAS  Google Scholar 

  16. Long AL, Sapoval MR, Beyssen BM, et al. Strecker stent implantation in iliac arteries: patency and predictive factors for long-term success. Radiology. 1995;194:739–44.

    PubMed  CAS  Google Scholar 

  17. Sharafuddin MJ, Hoballah JJ, Kresowik TF, Sharp WJ, Golzarian J, Sun S, et al. Long-term outcome following stent reconstruction of the aortic bifurcation and the role of geometric determinants. Ann Vasc Surg. 2008;22(3):346–57.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Sixt, S., Zeller, T., Krankenberg, H. (2014). Endovascular Intervention in the Aortoiliac Arteries: Treatment Strategies and Management of Complications. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_46

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-7312-1_46

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7311-4

  • Online ISBN: 978-1-4614-7312-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics