Early experience with the Palmaz expandable intraluminal stent in iliac artery stenosis

Dolores F. Cikrit, Gary J. Becker, Michael Dalsing, Karen O. Ehrman, Stephen G. Lalka, Alan Sawchuk

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Since 1987, we have used the Palmaz expandable intraluminal stent in 22 selected cases of iliac artery stenosis in 14 men and six women with a mean age of 63 years for claudication (9), graft salvage (5), rest pain (4), and tissue loss (2). Morphologic criteria included severe percutaneous balloon angioplasty-induced dissection (6), long or multiple stenoses or occlusions (5), post-percutaneous balloon angioplasty elastic recoil (4), location of stenosis (4), and restenosis following percutaneous balloon angioplasty (3). Twenty-two limbs were treated with 61 stents. The mean pressure gradient across the lesion fell from 31±15 to 1.1±2.4 mmHg after stenting. The mean ankle/brachial systolic pressure index improved from 0.59±0.31 to 0.83±0.25 after stenting. The mean follow-up is 11.4 months, with a mean ankle/brachial index at their most recent follow-up of 0.88±0.19. Symptomatically, 11 extremities are normal and five limbs are improved. Three patients have died and two have required bypass grafts for iliac occlusive disease. In this early experience, the Palmaz intraluminal stent appears to be valuable for the management of post-percutaneous balloon angioplasty restenosis, elastic recoil, and percutaneous balloon angioplasty-induced dissection, although it is not without complications.

Original languageEnglish
Pages (from-to)150-155
Number of pages6
JournalAnnals of Vascular Surgery
Volume5
Issue number2
DOIs
StatePublished - Mar 1991

Fingerprint

Balloon Angioplasty
Iliac Artery
Stents
Pathologic Constriction
Extremities
Dissection
Nociceptive Pain
Transplants
Ankle Brachial Index
Ankle
Arm
Blood Pressure
Pressure

Keywords

  • elastic recoil
  • iliac artery stenosis
  • Palmaz expandable intraluminal stent
  • percutaneous balloon angioplasty
  • stent

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Early experience with the Palmaz expandable intraluminal stent in iliac artery stenosis. / Cikrit, Dolores F.; Becker, Gary J.; Dalsing, Michael; Ehrman, Karen O.; Lalka, Stephen G.; Sawchuk, Alan.

In: Annals of Vascular Surgery, Vol. 5, No. 2, 03.1991, p. 150-155.

Research output: Contribution to journalArticle

Cikrit, Dolores F. ; Becker, Gary J. ; Dalsing, Michael ; Ehrman, Karen O. ; Lalka, Stephen G. ; Sawchuk, Alan. / Early experience with the Palmaz expandable intraluminal stent in iliac artery stenosis. In: Annals of Vascular Surgery. 1991 ; Vol. 5, No. 2. pp. 150-155.
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