Endovascular Therapy of Peripheral Arterial Disease Involving Iliac Artery and Distal Lower Extremity Arteries
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Date
2020
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Abstract
Objective: Methods of endovascular therapy have been increasingly used in addition to conventional surgicalapproaches in the treatment of peripheral arterial diseases. This study aims to evaluate to the endovascular treatmentmethods that we use in patients with peripheral arterial disease.Materials and Methods: We retrospectively analyzed twenty-four of patients were treated with endovascular method.Nineteen of the patients had intermittent claudication, 4 had rest pain and one patient with bilateral popliteal arteryaneurysms had pain at the back of bilateral knee joints. Twenty patients were male and 4 were female. The mean agewas was 55,26± 10,95( 38-81) years. Evaluations included clinical assesment according to Fontaine stages. Dopplerexaminations with ankle-brachial index (ABI) and bilateral lower extremity arteriograms. Ten of the patients who underwent endovascular therapy had a lesion in TASCII-A group, 5 had a TASCII-B lesion, and TASCII-C lesionswere present in 9 patients. All patients were followed prospectively with arterial duplex scan.Results: Bioabsorbable stent was implanted in 11 patients. Balloon angioplasty was performed in 3 patients. A selfexpandable nitinol stent was deployed in 3 patients. Subintimal balloon angioplasty was performed in 6 patients. Ananeurysm repair was performed with stent graft in 1 patient who had bilateral popliteal and right anterior tibial arteryaneurysms. Initial technical and hemodynamic success was achieved in 100% of cases. Preoperative 0,67±0,13 (0,4-0,95) and after one year later 0,94±0,07 (0,8-1) analysis for ABI revealed statistically significant (p<0,05).Conclusion: Urgent success was achieved in all patients. Patient symptoms were markedly improved at thepostoperative period and the patients with event-free postoperative clinical course were discharged with completerecovery. No vascular problems were observed during the follow-up of the patients