İLİAK ARTER STENOZUNDA METALİK ENDOPROTEZLER

Halilibrahim Serin; Turhan Cumhur; Bedreddin Selçuk; Tülay Ölçer

Research Article

İLİAK ARTER STENOZUNDA METALİK ENDOPROTEZLER

Year 2023, Volume: 9 Issue: 3, 134 - 144, 24.12.2023

Halilibrahim Serin , Turhan Cumhur Bedreddin Selçuk Tülay Ölçer

Abstract

Bu çalışmanın amacı alt ekstremite tıkayıcı hastalıkların tedavisinde metalik endoprotezlerin ne düzeyde başarılı olduğunu belirlemekti. Buna göre çalışamızda alt ekstremite tıkayıcı damar hastalığı olan, yaşları 38-64 arasında değişen 1 kadın, 20 erkek (toplam 21 ) olgunun 23 lezyonuna 22 adet self-expandable wallstent, 4 adet balon-expandable Strecker stent yerleştirdik. 23 lezyonun 7 tanesi tam tıkanıklıktı, ve bunlara önce rekanalizasyon amacıyla ROTACS anjioplasti ve ardından PTA uyguladık. 7 ROTACS anjioplasti girişimimizde % 100 başarı elde ettik. Wallstent ve Strecker stent kullandığımız metalik endoprotez çalışmamızda İşlem Teknik Başarımız % 95.2 (20/21) olup; 2-25 ay (ortalama 16) ay süreyle takip ettiğimiz 17 olguda ise klinik başarımız % 94.1 (16/17 olgu); stent açık kalma başarımız: %95.0 (19/20 stent) (17 olgu) olup literatürle uyumludur.

Keywords

Ana iliak arter, ateroskleroz, metalik stent

References

1. Fallon JT, Pathology of arterial lesions amenable to PTA, AJR 135: 913-915, 1980.
2. Murray PD, Garnic JD, Bettman MA. Pharmacology of angıoplasty and intravascular trombolysis. AJR, 139:795- 803, 1982.
3. Ross R, The Pathogenesis of Atherosclerosis - An Update. N Engl J Med 314: 488-497, 1986.
4. Waller BF, Orr CM, Pinkerton CA, Van Tassel JN, Pinto RP. Morphologic observations late after balloon angıoplasty: Mechanism of acute mjury and relationship to restenosis. Radıology 174: 961-967, 1990.
5. Fischell TA, Stadium ML. New technologıes for the treatment of obstructive arteriel disease. Catheter. and Cardiovasc. Diagn. 22: 205-233, 1991.
6. Mass D, Zollıkofer CL, Largaıder F, Senning A, Radıologıcal follow-up of transluminally inserted vascular endoprostheses: An experimental study using expanding spirals. Radiology 152: 659-663, 1984.
7. Cragg A, Lund G, Rysavy J et al., Nonsurgical placement of arterial endoprostheses: A new technique using nitinol wire. Radiology 147: 261-263, 1983.
8. Lawrence DD, Charnsangavej C, Wright KC et al., Percutaneous endovascular grafting: Experimental evaluation. Radiology 163: 357-360, 1987.
9. Rollins N , Wright KC, Charnsangavej C et al., Self- expanding metallic stents: Preliminary Evaluation in an atherosclerotic model. Radiology 163: 739-742, 1987.
10. Wright KC, VJallace S, Charnsangave j C et al., Percutaneous endovascular stents: An experimental evaluation. Radiology 156: 69-72, 1985.
11. Sigwart U, Puel J, Mirkowitch V et al., İntravascular stents to prevent occlusions and restenoses after transluminal angioplasty, N Engl J Med 316: 701-706, 1987.
12. Barth KH , Virmani R, Strecker EP et al., Flexible tantalum stents implanted in aortas and iliac arteries: Effects in normal canines. Radiology 175: 91-96, 1990.
13. Duprat G, Wright KC, Charnsangavej C et al., Flexıble balloon-expanded stent for small vessels. Radiology 162: 276-278, 1987. 14. King III SB, Vascular stents and atherosclerosis. Circulation 79: 460-462, 1989.
15. Becker GC, Katzenm BT , Dake MD. Noncoronary angioplasty. Radiology 170: 921-940, 1989.
16. Wholey MH. Advances in balloon technology and reperfusion devices for peripheral circulation» . Am J Cardiol 61. (Supp.I): 87G-95G, 1988.
17. Palmaz JC, Sibbitt RR, Reuter SR et al., Expandable intralüminal graft: A preliminary study. Radyoloji 156: 73-76, 1985.
18. Sigwart U, Puel J, Mirkowitch V et al., İntravascular stents to prevent occlusions and restenose after transluminal angioplasty, N Engl J Med 316: 701-706, 1987.
19. King III SB, Vascular stents and atherosclerosis. Circulation 79: 460-462, 1989.
20. Schatz RA. A view of vascular stents. Circulation 79: 445-456, 1989.
21. Günther RW, Vorwerk D, Bohndorf K et al., İliak and femoral artery stenoses and occlusions: Treatment with intravascular stents. Radiology 172: 725-730, 1989.
22. Palmaz JC, Garcia OJ, Schatz RA et al., Placement of ballooon-expandable intralüminal stents in iliac arteries: First 171 procedures. Radiology 174: 969-975, 1990.
23. Babacan MK, Taşdemir O, Karagöz HY, Zorlutuna Y, Yamak B, Bayazıt M, Yakut C, Bayazıt K. The association of lower extremity peripheral vascular disease in patients undergoing coronary bypass surgery. VASA 18: 5-8, 1989.
24. Dotter CT, Judkins MP. Transluminal treatment of arteriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation 30: 654-670,1964.
25. Dotter CT. Transluminal angioplasty: Method, indications, and role in therapy. Dotter CT, Grüntzig A, Schoop W, Zeitler E (Eds.). Percutaneous transluminal angioplasty. Springer-Verlag, Berlin, 1983.
26. Anne LL, Philippe E. Percutaneous iliac artery stent: Angıographic long-term follow-up. Radiology 180: 771-778, 1991.
27. Becker GJ. İntracascular Stents. Circulation 83 (Suppl I): 1-122 1-136, 1991.
28. Zollikofer CL, Antonucci F, et al., Arterial stent placement with use of the wallstent: Midterm results of clinical experience. Radiology 179: 449-456, 1991.
29. Rousseau H, Joffre F, Raillat C et al., Treatment of femoropopliteal stenoses by means of self-expandable endoprostheses: Midterm results. Radiology 172: 961-964, 1989.
30. Cumhur T, Taş İ, Arıbal E, Ölçer T, Karaköse S, Zorlutuna Y, Babacan K, Taşdemir O, Selçuk B. Alt Extremite Arteriyel Hastalıklarında Perkütanöz Translüminal Anjiyoplasti. Radyoloji Dergisi, 2: 124- 130, 1989.

METALLIC ENDOPROSTHESES IN ILIAC ARTERY STENOSIS

Year 2023, Volume: 9 Issue: 3, 134 - 144, 24.12.2023

Halilibrahim Serin , Turhan Cumhur Bedreddin Selçuk Tülay Ölçer

Abstract

The aim of this study was to determine the success of metallic endoprostheses in the treatment of lower extremity occlusive diseases. our We conducted our study with 1 female and 20 male patients (21 in total), aged between 38-64. We placed 22 self-expandable wallstent and 4 balloon-expandable Strecker stents in 23 lesions. 7 of 23 lesions were complete occlusion. We first performed ROTACS angioplasty for recanalization and then PTA. We achieved 100% success in our 7 ROTACS angioplasty attempts. In our metallic endoprosthesis study in which we used Wallstent and Strecker stents, our Procedural Technical Success was 95.2% (20/21). Our clinical success was 94.1% (16/17 cases) in the 17 cases we followed for 2-25 months (average 16) and Our stent patency success rate was 95.0% (19/20 stents) (17 cases) compatible with the literature.

Keywords

Common iliac artery, atherosclerosis, metallic stent

References

1. Fallon JT, Pathology of arterial lesions amenable to PTA, AJR 135: 913-915, 1980.
2. Murray PD, Garnic JD, Bettman MA. Pharmacology of angıoplasty and intravascular trombolysis. AJR, 139:795- 803, 1982.
3. Ross R, The Pathogenesis of Atherosclerosis - An Update. N Engl J Med 314: 488-497, 1986.
4. Waller BF, Orr CM, Pinkerton CA, Van Tassel JN, Pinto RP. Morphologic observations late after balloon angıoplasty: Mechanism of acute mjury and relationship to restenosis. Radıology 174: 961-967, 1990.
5. Fischell TA, Stadium ML. New technologıes for the treatment of obstructive arteriel disease. Catheter. and Cardiovasc. Diagn. 22: 205-233, 1991.
6. Mass D, Zollıkofer CL, Largaıder F, Senning A, Radıologıcal follow-up of transluminally inserted vascular endoprostheses: An experimental study using expanding spirals. Radiology 152: 659-663, 1984.
7. Cragg A, Lund G, Rysavy J et al., Nonsurgical placement of arterial endoprostheses: A new technique using nitinol wire. Radiology 147: 261-263, 1983.
8. Lawrence DD, Charnsangavej C, Wright KC et al., Percutaneous endovascular grafting: Experimental evaluation. Radiology 163: 357-360, 1987.
9. Rollins N , Wright KC, Charnsangavej C et al., Self- expanding metallic stents: Preliminary Evaluation in an atherosclerotic model. Radiology 163: 739-742, 1987.
10. Wright KC, VJallace S, Charnsangave j C et al., Percutaneous endovascular stents: An experimental evaluation. Radiology 156: 69-72, 1985.
11. Sigwart U, Puel J, Mirkowitch V et al., İntravascular stents to prevent occlusions and restenoses after transluminal angioplasty, N Engl J Med 316: 701-706, 1987.
12. Barth KH , Virmani R, Strecker EP et al., Flexible tantalum stents implanted in aortas and iliac arteries: Effects in normal canines. Radiology 175: 91-96, 1990.
13. Duprat G, Wright KC, Charnsangavej C et al., Flexıble balloon-expanded stent for small vessels. Radiology 162: 276-278, 1987. 14. King III SB, Vascular stents and atherosclerosis. Circulation 79: 460-462, 1989.
15. Becker GC, Katzenm BT , Dake MD. Noncoronary angioplasty. Radiology 170: 921-940, 1989.
16. Wholey MH. Advances in balloon technology and reperfusion devices for peripheral circulation» . Am J Cardiol 61. (Supp.I): 87G-95G, 1988.
17. Palmaz JC, Sibbitt RR, Reuter SR et al., Expandable intralüminal graft: A preliminary study. Radyoloji 156: 73-76, 1985.
18. Sigwart U, Puel J, Mirkowitch V et al., İntravascular stents to prevent occlusions and restenose after transluminal angioplasty, N Engl J Med 316: 701-706, 1987.
19. King III SB, Vascular stents and atherosclerosis. Circulation 79: 460-462, 1989.
20. Schatz RA. A view of vascular stents. Circulation 79: 445-456, 1989.
21. Günther RW, Vorwerk D, Bohndorf K et al., İliak and femoral artery stenoses and occlusions: Treatment with intravascular stents. Radiology 172: 725-730, 1989.
22. Palmaz JC, Garcia OJ, Schatz RA et al., Placement of ballooon-expandable intralüminal stents in iliac arteries: First 171 procedures. Radiology 174: 969-975, 1990.
23. Babacan MK, Taşdemir O, Karagöz HY, Zorlutuna Y, Yamak B, Bayazıt M, Yakut C, Bayazıt K. The association of lower extremity peripheral vascular disease in patients undergoing coronary bypass surgery. VASA 18: 5-8, 1989.
24. Dotter CT, Judkins MP. Transluminal treatment of arteriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation 30: 654-670,1964.
25. Dotter CT. Transluminal angioplasty: Method, indications, and role in therapy. Dotter CT, Grüntzig A, Schoop W, Zeitler E (Eds.). Percutaneous transluminal angioplasty. Springer-Verlag, Berlin, 1983.
26. Anne LL, Philippe E. Percutaneous iliac artery stent: Angıographic long-term follow-up. Radiology 180: 771-778, 1991.
27. Becker GJ. İntracascular Stents. Circulation 83 (Suppl I): 1-122 1-136, 1991.
28. Zollikofer CL, Antonucci F, et al., Arterial stent placement with use of the wallstent: Midterm results of clinical experience. Radiology 179: 449-456, 1991.
29. Rousseau H, Joffre F, Raillat C et al., Treatment of femoropopliteal stenoses by means of self-expandable endoprostheses: Midterm results. Radiology 172: 961-964, 1989.
30. Cumhur T, Taş İ, Arıbal E, Ölçer T, Karaköse S, Zorlutuna Y, Babacan K, Taşdemir O, Selçuk B. Alt Extremite Arteriyel Hastalıklarında Perkütanöz Translüminal Anjiyoplasti. Radyoloji Dergisi, 2: 124- 130, 1989.

There are 29 citations in total.

Details

Primary Language	Turkish
Subjects	Radiology and Organ Imaging
Journal Section	Research Article
Authors	Halilibrahim Serin 0009-0003-9004-8859 Turhan Cumhur Bedreddin Selçuk Tülay Ölçer
Early Pub Date	October 27, 2023
Publication Date	December 24, 2023
Submission Date	October 25, 2023
Acceptance Date	October 26, 2023
Published in Issue	Year 2023 Volume: 9 Issue: 3

Cite

APA	Serin, H., Cumhur, T., Selçuk, B., Ölçer, T. (2023). İLİAK ARTER STENOZUNDA METALİK ENDOPROTEZLER. International Anatolia Academic Online Journal Health Sciences, 9(3), 134-144.