FACTORS INFLUENCING OUTCOME OF ENDOVASCULAR TREATMENT OF ILIAC ARTERY DIEASES-INSTITUTIONAL EXPERIENCE

Background: Endovascular treatment of iliac artery disease is well established in literature.Use of stents &balloons in iliac artery disease has achieved long-term limb salvage and patency rates similar to those of open surgery, with lower morbidity&mortality rates Aims&Objectives: To report outcomes,limb salvage and patency rates, of endovascular treatment for iliac artery diseases. Materials & methods Patients admitted in our govt institution, suitable for endovasular intervention who underwent iliac angioplasty or stenting, Patients with critical limb ischemia or incapacitating claudication were included. In total, 49 IA procedures were performed in 42 patients, with an initial technical success rate of 91%. fifteen angioplasty ,eight stenting fourteen angioplasty with stenting done and five bilateral angioplasty ,two bilateral stenting done.The follow-up was 12 months with the clinical assessment of pain, wound healing,ABI and Doppler. Results: Mean age was 62 years.All patients were males,The indications were incapacitating claudication in 15 cases and rest pain or ulcer in 23 cases .The primary patency is 87%, limb salvage is 92%,ulcer healing95%, ABI improvemment 86% , one mortality,three amputation seen. Conclusions: we conclude that endovascular treatment of iliac artery disease is safe, is associated with satisfactory and reproducible long-term outcomes, and has a low perioperative mortality rate, the majority of patients with iliac occlusive disease can be safely treated with percutaneous endovascular procedures,patency comparable to open intervention . Patients not on follow up, continue to smoke, drug defaulter have increased the risk for amputation