Luleci, "Primary stenting of embolic occlusions in iliac arteries
," Journal of Endovascular Therapy, vol.
This examination is able to visualize the iliac arteries
on vascular abnormalities and scale the severity by measurements of the peak systolic velocity (PSV).
Theoretically, the proximal occlusion of the large vessels such as the aorta and the common iliac arteries
is more effective, but it runs the potential risk of ischemia to the extremities if prolonged occlusion is required [9, 10].
The stent graft system is then passed through the iliac arteries
to its final destination.
After carefully drilling through the occlusion with the juicebox, the CTO of the distal aorta and left iliac arteries
were crossed successfully with a Magic Torque wire.
Because of this, patients undergoing EVAR of an aortoiliac or iliac artery aneurysm may require sacrifice of one or both internal iliac arteries
The IBE system provides a treatment range of 6.5-13.5 mm for the internal iliac arteries
, and a treatment range of 6.5-25 mm for the external iliac arteries
This arteriogram was helpful to estimate the length and the severity of the stenosis of the left iliac arteries
. It also aided to minimize traumatic injury to the left iliac arteries
during their recanalization.
The treatment option in all cases included plain old balloon angioplasty (POBA), and then stent deployments in total 74 stents were deployed in 60 iliac arteries
. POBA was performed before and after stents deployment in most cases ( n = 56), POBA were not performed first in other 4 cases because of highly suspected aneurysm or secondary thrombosis.
A 5 French catheter was inserted, and embolisation of both internal iliac arteries
as well as the tumour vessels was performed using an absorbable gelatine compressed sponge (Gelfoam, Pfizer, USA).
Abdominal CT revealed images consistent with mural thrombus in the suprarenal segment of abdominal aorta, total occlusion and hypodense thrombus material completely filling the aortic lumen through infrarenal segment extending to lumens of the caudal, bilateral common and superior iliac arteries
Initial arteriography was performed via the left brachial artery using a 6F 90 cm sheath (OptiMed, Germany), revealing a critical stenosis of the origin of the right common iliac artery and occlusion of the left common and external iliac arteries
, with reconstitution of the left common femoral artery (Figs 1 and 2).