Background: The method of percutaneous, endovascular recanalization of the iliac artery in patients with occluded common and external iliac arteries was used.
Material/methods: In 58 patients (mean age 59 years), percutaneous endovascular recanalization of 40 common and 18 external iliac arteries was performed. In 2 cases the common superficial femoral artery was also occluded. The average length of occlusion was 6.2 cm. The time since the onset of occlusion symptoms was 1 to 12 months. The recanalization was performed by passing with hydrophilic guidewire and catheter through the occlusion,and then performing balloon angioplasty. In case of unsatisfying results, a stent was placed. Intra-arterial thrombolysis was not provisionally applied in any case.
Results: 56 arteries were recanalized, 2 intravascular procedures were not successful. 7 cases of complications occurred: 3 of peripheral embolia, 1 occlusion of internal iliac artery, 3 hematomas at the puncture site; none of them required surgical intervention.
Conclusions: Percutaneous endovascular recanalization is an efficient method of treatment in occlusion of iliac arteries.