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Master Thesis

Outcomes of covered balloon-expandable stent placement in the treatment of atheroscerotic occusive disease at the aortic bufircation

Abstract : The objective was to evaluate at long term, the primary patency of covered stents used in first line treatment of aortoiliac occlusive lesions and identify prédictive factors of restenosis and thrombosis (FPRT). Patients with atherosclerotic occlusive disease at the aortic bifurcation treated with covered balloon expandable stent in iliac arteries were enrolled between January 2004 and December 2014. It was a retrospective study in which patients were followed prospectively. A surgical consultation for a month with a control Doppler ultrasound and an annual visit to the attending vascular physician were realized. The primary objective was primary patency. The characteristics of the population of the lesion and those related to the intervention were analyzed by multivariate to identify FPRT. 150 iliac arteries were treated (40kissing stent, 86% of men). The mean age was 61 years. The technical success was 100%. There were no intraoperative deaths and two postoperative deaths. The mean follow-up time was 51,3 months. The primary patency was at 1, 5 and 6 years: 94,2%, 90,4% and 87,3%. Eighteen thrombosis or restenosis were observed and eleven patients required further surgery. Only the female gender was identified as predictor of restenosis or thrombosis. In our experience endovascular treatment with covered stent for aorto iliac occlusive lesions is a reliable technique, efficient and sustainable.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01315000
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Submitted on : Thursday, May 12, 2016 - 2:58:02 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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  • HAL Id : dumas-01315000, version 1

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Amandine Elie. Outcomes of covered balloon-expandable stent placement in the treatment of atheroscerotic occusive disease at the aortic bufircation. Human health and pathology. 2016. ⟨dumas-01315000⟩

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