Clinical Analysis of 87 Cases of Hyporenal Abdominal Iliac Artery Disease Treated with Integrated Bifurcated Stent

Xun-qiang LIU; Chun-xin YANG; Xiao-na ZHOU; Wen-kai JI; Huan-jun CHEN; Jin-hui ZHANG; Li-qiong ZHANG; Cui-hong LI

doi:10.12259/j.issn.2095-610X.S20210420

Volume 42 Issue 4

Apr. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(4): 107-112

Xun-qiang LIU, Chun-xin YANG, Xiao-na ZHOU, Wen-kai JI, Huan-jun CHEN, Jin-hui ZHANG, Li-qiong ZHANG, Cui-hong LI. Clinical Analysis of 87 Cases of Hyporenal Abdominal Iliac Artery Disease Treated with Integrated Bifurcated Stent[J]. Journal of Kunming Medical University, 2021, 42(4): 107-112. doi: 10.12259/j.issn.2095-610X.S20210420

Citation:

Xun-qiang LIU, Chun-xin YANG, Xiao-na ZHOU, Wen-kai JI, Huan-jun CHEN, Jin-hui ZHANG, Li-qiong ZHANG, Cui-hong LI. Clinical Analysis of 87 Cases of Hyporenal Abdominal Iliac Artery Disease Treated with Integrated Bifurcated Stent[J]. Journal of Kunming Medical University, 2021, 42(4): 107-112. doi: 10.12259/j.issn.2095-610X.S20210420

Citation:

Xun-qiang LIU, Chun-xin YANG, Xiao-na ZHOU, Wen-kai JI, Huan-jun CHEN, Jin-hui ZHANG, Li-qiong ZHANG, Cui-hong LI. Clinical Analysis of 87 Cases of Hyporenal Abdominal Iliac Artery Disease Treated with Integrated Bifurcated Stent[J]. Journal of Kunming Medical University, 2021, 42(4): 107-112. doi: 10.12259/j.issn.2095-610X.S20210420

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Clinical Analysis of 87 Cases of Hyporenal Abdominal Iliac Artery Disease Treated with Integrated Bifurcated Stent

doi: 10.12259/j.issn.2095-610X.S20210420

1.
Dept. of Vascular Intervention
2.
Dept. of Ultrasonography
3.
Dept.of Pharmacy，Kunming Yunnan 650051，China

Received Date: 2020-12-11
Publish Date: 2021-04-01

Abstract

Abstract

Objective To explore the clinical efficacy of the treatment of subrenal iliac abdominal artery disease with integrated bifurcated stent graft. Methods Retrospective analysis was performed on 87 cases of subrenal abdominal iliac artery disease treated by intracavitary isolation with unibody bifurcated stent in the Department of Vascular Interventional Surgery of Yan'an Hospital Affiliated to Kunming Medical University from August 2015 to October 2019. Results 87 patients were successfully implanted with unibody bifurcated stent, the success rate was 100%. Only one unibody bifurcated stent was implanted in 15 cases, one leg stent was inserted in 36 cases, two leg stents were inserted in 29 cases, three leg stents were inserted in 4 cases, and four leg stents were inserted in 3 cases. Due to the large angle and distorted course of the abdominal iliac artery, 5 cases were treated with a bare stent inserted into the iliac branch of the integrated bifurcated coated stent, and 3 cases were treated with a bare stent distally; One case received integrated bifurcated coated stent with straight tube CUFF coated stent above it, 14 cases underwent internal iliac artery embolization first, 13 cases retained bilateral internal iliac artery, 51 cases retained one internal iliac artery, 23 cases closed both sides of internal iliac artery. Balloon was used to expand both ends and joints of the stent after surgery. The operation time was 35 min-122 min, with an average of 52 min, blood loss during operation was 10-50 ml, with an average of 23 ml, and 87 cases successfully completed the operation. One case developed renal failure and multiple organ failure after operation, 85 cases were followed up for 2-24 months, all of them were alive, 1 case was lost. CTA was reexamined 3 to 6 months after operation: the stent was in good shape and position, without internal leakage and displacement, and the lesions were closed well. Conclusions The use of the integrated bifurcated stent graft endovascular isolation for the treatment of subrenal abdominal iliac artery disease has many advantages, such as minimal invasion, good efffect, easy operation, high success rate, short operation time, safety, less complications, quick recovery and so on. The short-term and medium-term effect is better, the long-term effect remains to be observed.
- Integrated bifurcated stent,
- Hyporenal abdominal iliac artery disease,
- Clinical analysis

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