Primary stenting of focal atherosclerotic infrarenal aortic stenoses: long-term results in 13 patients and a literature review

Cardiovasc Intervent Radiol. 2004 Mar-Apr;27(2):121-8. doi: 10.1007/s00270-003-2724-8.


We conducted this study to investigate the value of primary stent implantation for the endovascular treatment of focal atherosclerotic stenoses of the infrarenal abdominal aorta. The data of 13 patients with a localized complex infrarenal aortic stenosis who underwent primary stenting was retrospectively evaluated. The patients (6 females, 7 males) had a mean age of 57.3 +/- 9.1 years (mean +/- SD). In all patients, the aortic diameter was measured on CT sections, and a self-expanding endoprosthesis was primarily implanted followed by dilatation with single or double balloons. In 3 patients, additional distal stenoses were also endovascularly treated. The procedure was technically successful in all patients. No complications occurred except for 2 minor groin hematomas. During the 43 +/- 23 months (mean +/- SD) follow-up (range: 12-96 months), all stented aortic segments remained patent. Clinical patency was lost in 4 patients, which was due to atherosclerosis or restenosis distal to the aorta. In view of the excellent early and long-term results, we believe that primary stenting should be considered the first line treatment in properly selected patients with focal atherosclerotic infrarenal stenoses of the abdominal aorta.

Publication types

  • Review

MeSH terms

  • Aged
  • Angiography
  • Angioplasty, Balloon / methods
  • Aorta, Abdominal* / diagnostic imaging
  • Aortic Diseases / complications
  • Aortic Diseases / diagnosis
  • Aortic Diseases / therapy*
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / etiology
  • Aortic Valve Stenosis / therapy*
  • Arteriosclerosis / complications
  • Arteriosclerosis / diagnosis*
  • Arteriosclerosis / therapy
  • Female
  • Femoral Artery / diagnostic imaging
  • Follow-Up Studies
  • Humans
  • Iliac Artery / diagnostic imaging
  • Kidney / blood supply*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Stents*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler
  • Vascular Patency / physiology