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Balloon Dilation of Iliac Stenosis With Distal Arterial Surgery
Jeffrey R. Alpert, MD;
Ernest J. Ring, MD;
David B. Freiman, MD;
Juan A. Oleaga, MD;
Roy Gordon, MD;
Henry D. Berkowitz, MD;
Brooke Roberts, MD
Arch Surg. 1980;115(6):715-717.
Abstract
• Seven patients with concomitant atherosclerotic iliac stenosis and femoral artery occlusive disease were treated with polyvinyl balloon catheter dilation of the iliac artery and subsequent distal operative arterial reconstruction. The iliac lesions were short, localized, common and external iliac stenoses and the femoral lesions were superficial femoral artery occlusions in six patients and a common femoral occlusion in another. All seven iliac stenoses were successfully dilated. Subsequent operative femoral artery reconstruction was successful in these patients, with restoration of popliteal or pedal pulses and relief of ischemic symptoms over a follow-up period of two to 14 months. One patient's femoral popliteal bypass graft thrombosed four months postoperatively.
(Arch Surg 115:715-717, 1980)
Author Affiliations
From the Departments of Surgery (Drs Alpert, Berkowitz, and Roberts) and Radiology (Drs Ring, Freiman, Oleaga, and Gordon), the Hospital of the University of Pennsylvania, Philadelphia.
Footnotes
Accepted for publication Dec 5, 1979.
Reprint requests to Hospital of the University of Pennsylvania, Fourth Floor, Silverstein Pavilion, 3400 Spruce St, Philadelphia, PA 19104 (Dr Roberts).
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