Cargando…

Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication

AIM: To assess the technical feasibility and clinical outcome of percutaneous transluminal angioplasty (PTA) with and without stent placement for treatment of buttock claudication caused by internal iliac artery (IIA) stenosis. METHODS: Between September 2001 and July 2011, thirty-four patients with...

Descripción completa

Detalles Bibliográficos
Autores principales: Prince, Jip F., Smits, Maarten L. J., van Herwaarden, Joost A., Arntz, Mark J., Vonken, Evert-Jan P. A., van den Bosch, Maurice A. A. J., de Borst, Gert Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738523/
https://www.ncbi.nlm.nih.gov/pubmed/23951349
http://dx.doi.org/10.1371/journal.pone.0073331
_version_ 1782476853446967296
author Prince, Jip F.
Smits, Maarten L. J.
van Herwaarden, Joost A.
Arntz, Mark J.
Vonken, Evert-Jan P. A.
van den Bosch, Maurice A. A. J.
de Borst, Gert Jan
author_facet Prince, Jip F.
Smits, Maarten L. J.
van Herwaarden, Joost A.
Arntz, Mark J.
Vonken, Evert-Jan P. A.
van den Bosch, Maurice A. A. J.
de Borst, Gert Jan
author_sort Prince, Jip F.
collection PubMed
description AIM: To assess the technical feasibility and clinical outcome of percutaneous transluminal angioplasty (PTA) with and without stent placement for treatment of buttock claudication caused by internal iliac artery (IIA) stenosis. METHODS: Between September 2001 and July 2011, thirty-four patients with buttock claudication underwent endovascular treatment. After angiographic lesion evaluation PTA with or without stent placement was performed. Technical success was recorded. Clinical outcome post-treatment was assessed at three months post-intervention and was classified as: 1) complete relief of symptoms, 2) partial relief, or 3) no relief of symptoms. Complications during follow-up were recorded. RESULTS: Forty-four lesions in 34 symptomatic patients were treated with PTA. Eight lesions were treated with additional stent placement. Technical success was achieved in 40/44 lesions (91%). Three procedure-related minor complications occurred, i.e. asymptomatic conservatively treated intimal dissections. After a median of 2.9 months, patients experienced no relief of symptoms in 7/34 cases (21%), partial relief in 14/34 cases (41%), and complete relief in 13/34 cases (38%). Six patients required a reintervention during follow-up. CONCLUSION: Endovascular treatment of IIA stenosis has a high technical success rate and a low complication rate. Complete or partial relief of symptoms is achieved in the majority (79%) of patients.
format Online
Article
Text
id pubmed-3738523
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-37385232013-08-15 Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication Prince, Jip F. Smits, Maarten L. J. van Herwaarden, Joost A. Arntz, Mark J. Vonken, Evert-Jan P. A. van den Bosch, Maurice A. A. J. de Borst, Gert Jan PLoS One Research Article AIM: To assess the technical feasibility and clinical outcome of percutaneous transluminal angioplasty (PTA) with and without stent placement for treatment of buttock claudication caused by internal iliac artery (IIA) stenosis. METHODS: Between September 2001 and July 2011, thirty-four patients with buttock claudication underwent endovascular treatment. After angiographic lesion evaluation PTA with or without stent placement was performed. Technical success was recorded. Clinical outcome post-treatment was assessed at three months post-intervention and was classified as: 1) complete relief of symptoms, 2) partial relief, or 3) no relief of symptoms. Complications during follow-up were recorded. RESULTS: Forty-four lesions in 34 symptomatic patients were treated with PTA. Eight lesions were treated with additional stent placement. Technical success was achieved in 40/44 lesions (91%). Three procedure-related minor complications occurred, i.e. asymptomatic conservatively treated intimal dissections. After a median of 2.9 months, patients experienced no relief of symptoms in 7/34 cases (21%), partial relief in 14/34 cases (41%), and complete relief in 13/34 cases (38%). Six patients required a reintervention during follow-up. CONCLUSION: Endovascular treatment of IIA stenosis has a high technical success rate and a low complication rate. Complete or partial relief of symptoms is achieved in the majority (79%) of patients. Public Library of Science 2013-08-08 /pmc/articles/PMC3738523/ /pubmed/23951349 http://dx.doi.org/10.1371/journal.pone.0073331 Text en © 2013 Prince et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Prince, Jip F.
Smits, Maarten L. J.
van Herwaarden, Joost A.
Arntz, Mark J.
Vonken, Evert-Jan P. A.
van den Bosch, Maurice A. A. J.
de Borst, Gert Jan
Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication
title Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication
title_full Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication
title_fullStr Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication
title_full_unstemmed Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication
title_short Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication
title_sort endovascular treatment of internal iliac artery stenosis in patients with buttock claudication
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738523/
https://www.ncbi.nlm.nih.gov/pubmed/23951349
http://dx.doi.org/10.1371/journal.pone.0073331
work_keys_str_mv AT princejipf endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication
AT smitsmaartenlj endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication
AT vanherwaardenjoosta endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication
AT arntzmarkj endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication
AT vonkenevertjanpa endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication
AT vandenboschmauriceaaj endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication
AT deborstgertjan endovasculartreatmentofinternaliliacarterystenosisinpatientswithbuttockclaudication