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stent. To our knowledge, this technique was not described for the iliac bifurcation. The aim of this study was to evaluate the feasibility and the short-term results of the treatment of the lesions of the iliac bifurcation by the technique of T-Stenting. Materials and Methods: It was a prospective, monocentric, non-randomized study. From May 2012 to January 2014, 19 men presenting lesions of the iliac bifurcation had 21 T-stenting procedures (two were bilateral). The mean age was 61 years (44 to 82 years). All the patients had a claudication, in the buttocks in 13 cases, and crural or sural in 6 cases. The IIA lesions were 15 stenoses and six thromboses, associated or not with lesions of the common or external iliac arteries. The follow-up included echoDoppler at 3, 6 and 12 months. Results: The procedure was carried out by a contralateral femoral approach in 19 cases and by humeral route in two cases. In three patients, the procedure could not be realized, by failure of the crossover (n1⁄41) or of the catheterization of the IIA (n1⁄42). The technical success rate was 86%. No per or postoperative complication was observed. During the follow-up (average 4 months, extremes 1 to 12 months), no patient died, three thromboses of hypogastric stent were discovered and there was no reintervention. Thirteen patients among whom the procedure was carried out successfully had a follow-up equal to or higher than three months. In ten of them, a clinical improvement was obtained. The three other patients kept an invalidating claudication. Conclusion: This study shows the feasibility of T-Stenting for the occlusive lesions of the iliac bifurcation. The early results were acceptable. A long-term follow-up on a more important number of patients is necessary to judge the interest of this technique. |
