Abstract
Balloon-expandable, intraluminal stenting of the iliac arteries with the Palmaz stent was the subject of a multicenter study for 4 years. A total of 486 patients underwent 587 procedures. Four hundred and five patients had unilateral and 81 had bilateral iliac stent placements. Follow-up ranged from 1 to 48 months (mean 13.3±11 months). Sustained clinical benefit of the treated patients was obtained in 90.9% at 1 year, 84.1% at 2 years, and 68.6% at 43 months. Angiographic patency rate was 92%. Diabetes mellitus and poor runoff had significant negative influence on the clinical outcome. The 10% incidence of procedural complications was not altered by operator experience.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Palmaz JC, Richter GM, Noeldge G, Schatz RA, Robison PD, Gardiner GA, Becker GJ, McLean GK, Denny DF, Lammer J, Paolini RM, Rees CR, Alvarado R, Heiss WH, Root HD, Rogers W (1988) Intraluminal stents in atherosclerotic iliac artery stenosis: Preliminary report of a multicenter study. Radiology 168:727–731
Palmaz JC, Garcia OJ, Schatz RA, Rees CR, Roeren T, Richter GM, Noeldge G, Gardiner GA, Becker GJ, Walker C, Stagg J, Katzen BT, Lammer J, Schwarten D, Tio FO, Root HD, Rogers W (1990) Placement of balloon-expandable intraluminal stents in iliac arteries: First 171 procedures. Radiology 174:969–975
Rees CR, Palmaz JC, Garcia OJ, Roeren T, Richter GM, Gardiner G Jr, Schwarten D, Schatz RA, Root HD, Rogers W (1989) Angioplasty and stenting of completely occluded iliac arteries. Radiology 172:953–959
Palmaz JC, Encarnacion C, Garcia OJ, Schatz RA, Rivera FJ, Laborde JC, Dougherty SP (1991) Aortic bifurcation stenosis: Treatment with intravascular stents. JVIR 2:319–323
Rutherford RB, Flanigan PD, Gupta SK, Johnston WK, Karmody A, Whittmore AD, Baker JD, Ernst CB, Jamieson C, Mehta S (1986) Suggested standards for reports dealing with lower extremity ischemia. J Vasc Surg 4:80–94
Richter GM, Noeldge G, Roeren T, Landwehr P, Brambs HJ, Kauffmann GW, Palmaz JC (1990) First long-term results of a randomized multicenter trial: Iliac balloon-expandable stent placement versus regular percutaneous transluminal angioplasty (abstract). Radiology 177(P):152
Palmaz JC (1991) Update on clinical experience with peripheral vascular stents. Presented at the annual meeting of the Arizona Heart Institute (International Congress IV), Phoenix, February 13, 1991
Henry M, Beron R, Amicabile C, Voiriot P, Chastel A (1991) Palmaz-Schatz stents in the treatment of peripheral vascular diseases (abstract). J Am Coll Cardiol 17:302A
Vorwerk D, Guenther RW (1990) Mechanical revascularization of occluded iliac arteries with use of self-expandable endoprostheses. Radiology 175:411–415
Guenther RW, Vorwerk D, Antonucci F, Beysen B, Essinger A, Gaux JC, Joffre F, Raynaud A, Rousseau H, Zollikofer Ch L (1991) Iliac artery stenosis or obstruction after unsuccessful balloon angioplasty: Treatment with a self-expandable stent. AJR 156:389–393
Zollikofer CL, Antonucci F, Pfyffer M, Redha F, Salomonowitz E, Stuckmann G, Largiadèr J, Marty AH (1991) Arterial stent placement with use of the Wallstent: Mid-term results of clinical experience. Radiology 179:449–456.
Kichikawa K, Uchida H, Yoshioka T, Maeda M, Nishimine K, Kubota Y, Sakaguchi S, Ohishi H, Iwasaki S (1990) Iliac artery stenosis and occlusion: Preliminary results of treatment with Gianturco expandable metallic stents. Radiology 177:799–802
Borozan PG, Schuler JJ, Spigos DG, Flanigan DP (1985) Long-term hemodynamic evaluation of lower extremity percutaneous transluminal angioplasty. J Vasc Surg 2:785–793
Johnston KW, Rae M, Hogg-Johnston SA, Colapinto RF, Walker PM, Baird RJ, Sniderman KW, Kalman P (1987) 5-year results of a prospective study of percutaneous transluminal angioplasty. Ann Surg 206:403–413
Waltman AC, Greenfield AJ, Novelline RA, Abbott WM, Brewster DC, Darling RC, Moncure AC, Ottinger LW, Athanasoulis CA (1982) Transluminal angioplasty of the iliac and femoropopliteal arteries. Arch Surg 117:1218–1221
Gallino A, Mahler F, Probst P, Nachbur B (1984) Percutaneous transluminal angioplasty of the arteries of the lower limbs: A 5-year follow-up. Circulation 70:619–623
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Palmaz, J.C., Laborde, J.C., Rivera, F.J. et al. Stenting of the iliac arteries with the palmaz stent: Experience from a multicenter trial. Cardiovasc Intervent Radiol 15, 291–297 (1992). https://doi.org/10.1007/BF02733953
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF02733953