Results of endovascular treatment of patients with type C and D lesions of the aortoiliac segment according to the TASC II classification

Papoyan S.A.¹, Shchegolev A.A.², Gromov D.G.¹, Kvitsaridze B.A.¹, Sazonov M.Yu.¹, Gavrilenko A.V.³

1) Municipal Clinical Hospital named after F.I. Inozemtsev,
2) Chair of Surgical Diseases of the Paediatric Department, Russian National Research Medical University named after N.I. Pirogov,
3) Russian Scientific Centre of Surgery named after Academician B.V. Petrovsky, Moscow, Russia

Presented herein are the results of endovascular interventions carried out in patients with occlusive lesions of the terminal portion of the aorta and iliac arteries (types C and D according to the TASC II classification). The study comprised a total of 45 subjects with type C and D lesions. The technical success rate in the group of patients with type C lesions amounted to 100% and in the group of those with type D lesions to 92.8%. One-year primary patency of iliac arteries after the endovascular intervention was assessed in 40 patients and amounted to 100% for type C lesions and to 92.8% for type D lesions.

The obtained findings are strongly suggestive of a possibility of extending the indications for endovascular surgical interventions in management of patients with type C and D lesions, which makes it possible to achieve good immediate and remote results. This type of treatment may be regarded as a method of choice before further considering feasibility of an open surgical intervention.

KEY WORDS: atherosclerosis, aortoiliac segment, endovascular treatment, TASC II, type C, type D.

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