Abstract
The aim of this study was to assess the difficulties met with possible recommendations
in management of flush common iliac artery occlusive disease (FCIAOD).
This a prospective study assessing FCIAOD along the period of 24 months. We defined
FCIAOD as more than 90% occlusion of diameter of common iliac artery (CIA) with less
than 2 mm patent iliac stump from its origin from the abdominal aorta.
Our study included 51 cases. Technical success was achieved in 47 patients (92%);
82.5% of cases were done via two accesses (65% of cases were done using bilateral
femoral). Primary stenting was done in all cases. Sixty-eight percent of cases were
treated by unilateral stents (81.3% of them were done using self-expandable) and 32%
of cases were treated by kissing stents (50% using self-expandable). Prestent dilatation
was selectively used in 77% of cases. Follow-up (12 months) revealed primary patency
of 82.5% and secondary patency was 98% with no amputation done. Mortality rate was
4%.
Endovascular treatment provides a successful option for the management of FCIAOD with
a technical success rate of 92%, the option of selective use of prestent dilatation.
FCIAOD does not preclude the use of unilateral stent in CIA, which can be completed
to kissing stents if needed.
Keywords
endovascular - common iliac - ostial lesion - flush - kissing stents - dissection
- predilatation
