Arne Gerhard Schwindt, MD, Giuseppe Panuccio, MD, Konstantinos P

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Presentation transcript:

Endovascular treatment as first line approach for infrarenal aortic occlusive disease Arne Gerhard Schwindt, MD, Giuseppe Panuccio, MD, Konstantinos P. Donas, MD, PhD, Luca Ferretto, MD, Martin Austermann, MD, Giovanni Torsello, MD Journal of Vascular Surgery Volume 53, Issue 6, Pages 1550-1556.e1 (June 2011) DOI: 10.1016/j.jvs.2011.02.007 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Angiography of a 70-year-old woman with focal aortic stenosis at the distal part of the aorta. A and B, Through a right femoral retrograde approach it was possible to cross and stent the lesion with a single self-expandable stent (Luminex, C.A. Bard). C and D, Computed tomography (CT) scan 2 years later shows the stent integrity and the calcified aortic plaque (3D volume rendering modality, white arrow). On the left, a curved planar reformation passing through the aortic lumen shows the absence of a restenosis. Journal of Vascular Surgery 2011 53, 1550-1556.e1DOI: (10.1016/j.jvs.2011.02.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Secondary procedure in a patient with recurrence of symptoms 75 months after implantation of a self-expandable stent. The intraoperative angiography shows de novo stenosis below the origin of the left renal artery (A). A 7F introducer sheath was placed to protect the lower left renal artery through a left brachial access (B). A new self-expandable stent was deployed and postdilated (C) while patency of the left renal artery was preserved (D). Journal of Vascular Surgery 2011 53, 1550-1556.e1DOI: (10.1016/j.jvs.2011.02.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Primary patency (A) and assisted primary patency (B) in 52 patients with numbers at risk for each period (Kaplan-Meier). Subgroup for occlusions (green line) and stenoses (blue line) are also depicted. Dashed lines show SE value >10%. Journal of Vascular Surgery 2011 53, 1550-1556.e1DOI: (10.1016/j.jvs.2011.02.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions