Long-term follow-up of the Palmaz stent for iliac occlusive disease

Dolores F. Cikrit, Paula A. Gustafson, Michael Dalsing, Veronica J. Harris, Stephen G. Lalka, Alan Sawchuk, Scott O. Trerotola, John J. Snidow, Matthew S. Johnson, Betty Solooki

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Background. Thirty-eight limbs with iliac occlusive disease were treated with Palmaz stents from 1987 through 1991. Methods. Indications for stent utilization included dissection induced by percutaneous transluminal balloon angioplasty (PTA) (10), restenosis after PTA (nine), post-PTA residual stenosis (nine), multiple stenoses or occlusion (five), and unfavorable location (five). Results. The ankle/brachial pressure index increased from 0.53±0.27 to 0.8±0.26 after stent deployment. The intraluminal pressure gradient decreased from 31.9±16.3 to 0.9±2.2 mm Hg after stent deployment. Complications included pseudoaneurysm (one), arteriovenous fistula (one), iliac perforation (one), groin hematoma (two), and occlusion (two). Follow-up arteriogram showed stenosis proximal or distal (n=4) or within the stents (n=4). These were treated with PTA or stents. Two patients required an aortobifemoral graft. Nine patients have died. Life table analysis showed a 1-, 3-, and 5-year primary and secondary cumulative patency of 87%±5.9%, 74%±8.2%, and 63%±10% and 91%±5.1%, 91%±5.6%, and 86%±7.6%, respectively. Conclusions. Palmaz stents, often required to salvage a PTA failure, appear to maintain overall patency at a high level. However, intimal hyperplasia and the progression of atherosclerotic disease may result in a need for additional procedures to obtain this favorable outcome.

Original languageEnglish
Pages (from-to)608-614
Number of pages7
JournalSurgery
Volume118
Issue number4
DOIs
StatePublished - 1995

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Stents
Balloon Angioplasty
Angioplasty
Pathologic Constriction
Tunica Intima
Pressure
Ankle Brachial Index
Life Tables
Groin
False Aneurysm
Arteriovenous Fistula
Hematoma
Hyperplasia
Disease Progression
Dissection
Extremities
Transplants

ASJC Scopus subject areas

  • Surgery

Cite this

Cikrit, D. F., Gustafson, P. A., Dalsing, M., Harris, V. J., Lalka, S. G., Sawchuk, A., ... Solooki, B. (1995). Long-term follow-up of the Palmaz stent for iliac occlusive disease. Surgery, 118(4), 608-614. https://doi.org/10.1016/S0039-6060(05)80025-X

Long-term follow-up of the Palmaz stent for iliac occlusive disease. / Cikrit, Dolores F.; Gustafson, Paula A.; Dalsing, Michael; Harris, Veronica J.; Lalka, Stephen G.; Sawchuk, Alan; Trerotola, Scott O.; Snidow, John J.; Johnson, Matthew S.; Solooki, Betty.

In: Surgery, Vol. 118, No. 4, 1995, p. 608-614.

Research output: Contribution to journalArticle

Cikrit, DF, Gustafson, PA, Dalsing, M, Harris, VJ, Lalka, SG, Sawchuk, A, Trerotola, SO, Snidow, JJ, Johnson, MS & Solooki, B 1995, 'Long-term follow-up of the Palmaz stent for iliac occlusive disease', Surgery, vol. 118, no. 4, pp. 608-614. https://doi.org/10.1016/S0039-6060(05)80025-X
Cikrit, Dolores F. ; Gustafson, Paula A. ; Dalsing, Michael ; Harris, Veronica J. ; Lalka, Stephen G. ; Sawchuk, Alan ; Trerotola, Scott O. ; Snidow, John J. ; Johnson, Matthew S. ; Solooki, Betty. / Long-term follow-up of the Palmaz stent for iliac occlusive disease. In: Surgery. 1995 ; Vol. 118, No. 4. pp. 608-614.
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abstract = "Background. Thirty-eight limbs with iliac occlusive disease were treated with Palmaz stents from 1987 through 1991. Methods. Indications for stent utilization included dissection induced by percutaneous transluminal balloon angioplasty (PTA) (10), restenosis after PTA (nine), post-PTA residual stenosis (nine), multiple stenoses or occlusion (five), and unfavorable location (five). Results. The ankle/brachial pressure index increased from 0.53±0.27 to 0.8±0.26 after stent deployment. The intraluminal pressure gradient decreased from 31.9±16.3 to 0.9±2.2 mm Hg after stent deployment. Complications included pseudoaneurysm (one), arteriovenous fistula (one), iliac perforation (one), groin hematoma (two), and occlusion (two). Follow-up arteriogram showed stenosis proximal or distal (n=4) or within the stents (n=4). These were treated with PTA or stents. Two patients required an aortobifemoral graft. Nine patients have died. Life table analysis showed a 1-, 3-, and 5-year primary and secondary cumulative patency of 87{\%}±5.9{\%}, 74{\%}±8.2{\%}, and 63{\%}±10{\%} and 91{\%}±5.1{\%}, 91{\%}±5.6{\%}, and 86{\%}±7.6{\%}, respectively. Conclusions. Palmaz stents, often required to salvage a PTA failure, appear to maintain overall patency at a high level. However, intimal hyperplasia and the progression of atherosclerotic disease may result in a need for additional procedures to obtain this favorable outcome.",
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T1 - Long-term follow-up of the Palmaz stent for iliac occlusive disease

AU - Cikrit, Dolores F.

AU - Gustafson, Paula A.

AU - Dalsing, Michael

AU - Harris, Veronica J.

AU - Lalka, Stephen G.

AU - Sawchuk, Alan

AU - Trerotola, Scott O.

AU - Snidow, John J.

AU - Johnson, Matthew S.

AU - Solooki, Betty

PY - 1995

Y1 - 1995

N2 - Background. Thirty-eight limbs with iliac occlusive disease were treated with Palmaz stents from 1987 through 1991. Methods. Indications for stent utilization included dissection induced by percutaneous transluminal balloon angioplasty (PTA) (10), restenosis after PTA (nine), post-PTA residual stenosis (nine), multiple stenoses or occlusion (five), and unfavorable location (five). Results. The ankle/brachial pressure index increased from 0.53±0.27 to 0.8±0.26 after stent deployment. The intraluminal pressure gradient decreased from 31.9±16.3 to 0.9±2.2 mm Hg after stent deployment. Complications included pseudoaneurysm (one), arteriovenous fistula (one), iliac perforation (one), groin hematoma (two), and occlusion (two). Follow-up arteriogram showed stenosis proximal or distal (n=4) or within the stents (n=4). These were treated with PTA or stents. Two patients required an aortobifemoral graft. Nine patients have died. Life table analysis showed a 1-, 3-, and 5-year primary and secondary cumulative patency of 87%±5.9%, 74%±8.2%, and 63%±10% and 91%±5.1%, 91%±5.6%, and 86%±7.6%, respectively. Conclusions. Palmaz stents, often required to salvage a PTA failure, appear to maintain overall patency at a high level. However, intimal hyperplasia and the progression of atherosclerotic disease may result in a need for additional procedures to obtain this favorable outcome.

AB - Background. Thirty-eight limbs with iliac occlusive disease were treated with Palmaz stents from 1987 through 1991. Methods. Indications for stent utilization included dissection induced by percutaneous transluminal balloon angioplasty (PTA) (10), restenosis after PTA (nine), post-PTA residual stenosis (nine), multiple stenoses or occlusion (five), and unfavorable location (five). Results. The ankle/brachial pressure index increased from 0.53±0.27 to 0.8±0.26 after stent deployment. The intraluminal pressure gradient decreased from 31.9±16.3 to 0.9±2.2 mm Hg after stent deployment. Complications included pseudoaneurysm (one), arteriovenous fistula (one), iliac perforation (one), groin hematoma (two), and occlusion (two). Follow-up arteriogram showed stenosis proximal or distal (n=4) or within the stents (n=4). These were treated with PTA or stents. Two patients required an aortobifemoral graft. Nine patients have died. Life table analysis showed a 1-, 3-, and 5-year primary and secondary cumulative patency of 87%±5.9%, 74%±8.2%, and 63%±10% and 91%±5.1%, 91%±5.6%, and 86%±7.6%, respectively. Conclusions. Palmaz stents, often required to salvage a PTA failure, appear to maintain overall patency at a high level. However, intimal hyperplasia and the progression of atherosclerotic disease may result in a need for additional procedures to obtain this favorable outcome.

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