Percutaneous intervention for the treatment of hypoplastic aortoiliac syndrome.

Full Abstract

Hypoplastic aortoiliac syndrome (HAIS) occurs in young women and is characterized by a small infrarenal aorta with a hypoplastic iliofemoral arterial system and advanced atherosclerotic disease. Of 304 aortoiliac interventions (AoI), 30 female patients (mean age, 50 +/- 5 years) had HAIS. HAIS patients were less likely to have coronary disease (33% vs. 88%; P < 0.0001) or diabetes (10% vs. 42%; P < 0.001) compared to their AoI counterparts. Twenty-three patients (73%) had hyperlipidemia with mean cholesterol of 287 +/- 42 mg/dl. Twenty-eight patients (93%) were successfully treated with AoI. The ankle/brachial indices improved from pre-AoI ABI of 0.55 +/- 0.1 to post-AoI ABI of 0.99 +/- 0.1. Complications included one groin hematoma and one case of thrombosis. Follow-up averaged 31 months (range, 3-91 months) with an early (less than 12 months) restenosis rate of 7% and late (greater than 12 months) restenosis of 21%. One patient (3%) required surgical revascularization for persistent symptoms. Percutaneous treatment of HAIS is an alternative to surgical revascularization with satisfactory long-term results. Copyright 2003 Wiley-Liss, Inc.

Author information

Author/s: Walton, Brian L (BL); Dougherty, Kathy (K); Mortazavi, Ali (A); Strickman, Neil (N); Krajcer, Zvonimir (Z);

Affiliation: Department of Cardiology, St. Luke's Episcopal Hospital and Texas Heart Institute, Houston, Texas 77030, USA.

Journal and publication information

Publication Type: Comparative Study; Journal Article; Review

Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (Catheter Cardiovasc Interv), published in United States. (Language: eng)

Reference: 2003-Nov; vol 60 (issue 3) : pp 329-34

Dates: Created 2003/10/22; Completed 2004/03/19; Revised 2006/11/15;

PMID: 14571482, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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