COMPARED SHORT-TERM RESULTS OF BALLOON ANGIOPLASTY AND STENT PLACEMENT THERAPY FOR TASC II A, B LESIONS OF ILIAC ARTERIAL OCCLUSIONS

Lê Đức Tín1,, Phạm Minh Ánh1, Đỗ Kim Quế2
1 Cho Ray Hospital
2 Thong Nhat Hospital

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Abstract

Objective: To compare the results of balloon angioplasty and stent placement therapy for TASC II A, B lesions of iliac arterial occlusions. Methods: Retrospective descriptive series of cases. Results: The study had 137 patients, male accounted for 84.7%, average age 70.4 ± 10.9 study samples. TASC II A class accounted for 48.9% (67 cases), TASC II B class accounted for 51.1% (70 cases). The balloon angioplasty group had a lower percentage of TASC II B than the stent placement group (28.6% vs 63.6%, p<0.001). The mean intervention time of the balloon angioplasty and stent placement group accounted for 157 ± 39.7 minutes and 147 ± 56.4 minutes, respectively. The mean hospital stay of the balloon angioplasty and stent placement group was 4.4 ± 1.7 days and 4.8 ± 3.1 days, respectively. General complications accounted for 4.4% of the sample, of which embolism 0.73%, myocardial infarction 0.73%, amputation 1.5%, hematoma 0.73%, renal failure 0.73 of the sample. Technically successful results are 100% for both methods. The short-term clinical success of balloon angioplasty and stenting accounted for 97.9% and 96.7%, respectively, the difference was not statistically significant (p=0.67). Conclusions: Angioplasty and stenting in the treatment of iliac artery occlusion with TASC II A, B lesions are minimally invasive, safe, effective, short hospital stay, and fast recovery. Both methods improve clinical and subclinical symptoms after the intervention, with few complications. The short-term clinical success between PTA and stent placement was not statistically significant.

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References

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