Recanalization of long iliac occlusions by humeral and radial approach- About 30 cases

Aabdou A*, Ezzahraoui MR, Almahraoui O and Alaoui M

Background: Complex stenosis and iliac occlusions (TASC C-D) often require surgical revascularization. Since 2007, several studies have studied the performance of endovascular revascularizations via brachial or radial anterograde approach with a good success rate.

Material and methods: We performed a retrospective and analytical study, comprising a series of 30 patients who underwent an endovascular treatment within the vascular surgery department of the Military Hospital Avicenna of Marrakech Morocco between January 2014 and February 2016

Results: During the study period, 30 patients were included. The average age of our patients was 61.8 years (42 to 83 years). We noted a male predominance with a sex-ratio M / W of 2.7. All having as risk factors cardiovascular: age, sex and smoking. The distribution of iliac lesions was dominated by primary iliac occlusions and the right iliac axis (70%) according to the TASC 2 classification; occlusions were classified as TASC C in 10 patients (33.3%) and TASC D in 20 patients (66.6%). We haddilated the occlusion by angioplasty introduced by the humeral way in 20 patients and radial in 10 patients, with placement of a stent. The success of the technique was obtained in 100% of the cases.

Conclusions: Brachial and radial access for TASC C-D aortoiliac chronic occlusion improves the technical success rate without the need for reentry devices and remains a better option for patients at risk treatment.

Keywords:

Published on: Mar 12, 2019 Pages: 5-8

Full Text PDF Full Text HTML DOI: 10.17352/ijvsm.000033
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