Cardiovascular and Interventional Radiological Society of Europe Guidelines on Endovascular Treatment in Aortoiliac Arterial Disease

Journal Article · Sat Feb 15 04:00:00 EST 2014 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-013-0741-9· OSTI ID:22318107

Rossi, Michele ^[1]; Iezzi, Roberto ^[2]

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1. Sant’Andrea University Hospital, Interventional Radiology Unit (Italy)
2. “Sacro Cuore” Catholic University, Radiology Department (Italy)

Purpose: These guidelines are intended for use in assessing the standard for technical success and safety in aorto-iliac percutaneous endovascular interventions. Methods: Any recommendation contained in the text comes from the highest level and extension of literature review available to date. Results: The success of endovascular procedures is strictly related to an accurate planning based mainly on CT- or MR-angiography. TASC II A through C lesions have an endovascular-first option Pre-procedure ASA antiplatelet therapy is advisable in all cases. The application of stents improves the immediate hemodynamic and most likely long-term clinical results. Cumulative mean complication rate is 7.51 % according to the most relevant literature. Most of the complications can be managed by means of percutaneous techniques. Conclusion: The design and quality of devices, as well as the easy and accuracy of performing these procedures, have improved over the last decades, leading to the preferential treatment of aorto-iliac steno-obstructive disease via endovascular means, often as first-line therapy, with high technical success rate and low morbidity. This is mirrored by the decreasing number of patients undergoing surgical grafts over the last years with patency, limb salvage, and survival rates equivalent to open reconstruction.

• OSTI ID: 22318107
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 37; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
ACCURACY
ADMINISTRATIVE PROCEDURES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
DATES
DESIGN
DISEASE INCIDENCE
DISEASES
EQUIPMENT
EUROPE
GRAFTS
LIMBS
MIRRORS
PATIENTS
PLANNING
RECOMMENDATIONS
REVIEWS
SAFETY
STANDARDS
SURGERY
THERAPY