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June 1980

Balloon Dilation of Iliac Stenosis With Distal Arterial Surgery

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.

Arch Surg. 1980;115(6):715-717. doi:10.1001/archsurg.1980.01380060017005

• 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)

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