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  • Title: [Percutaneous recanalization of pelvic artery occlusions--fibrinolysis, PTA, stents].
    Author: Hausegger KA, Lammer J, Klein GE, Flückiger F, Lafer M, Pilger E, Aschauer M.
    Journal: Rofo; 1991 Dec; 155(6):550-5. PubMed ID: 1837240.
    Abstract:
    In 42 patients with symptomatic chronic iliac artery occlusions with a length of 2-15 cm (mean 4.3 cm), percutaneous recanalization was attempted. The study population was divided into 2 groups: Group I (n = 17) is a retrospective control group, the patients were treated with fibrinolysis (FL) and percutaneous transluminal angioplasty (PTA). In group II (n = 25) the patients were treated according to a prospective protocol including FL, PTA and placement of endovascular self-expandable stents. The recanalization rate for Group I and II together was 83% (35/42). FL was effective in 47%, in 53% the recanalization was performed mechanically only. The patency rate in Group I during a maximum of 69 months was 67%, in Group II, in which residual stenoses were treated with stents, 100% during max. 18 months. Obviously stents help to improve the results after percutaneous recanalization of iliac artery occlusions significantly.
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