British Society of Interventional Radiology Iliac Angioplasty and Stent Registry: fourth report on an additional 8,294 procedures.

Published on Jun 1, 2019in Clinical Radiology2.118
· DOI :10.1016/J.CRAD.2019.01.026
C. Miller1
Estimated H-index: 1
(Leeds Teaching Hospitals NHS Trust),
R. Frood6
Estimated H-index: 6
(Leeds Teaching Hospitals NHS Trust)
+ 1 AuthorsC.J. Hammond2
Estimated H-index: 2
(Leeds Teaching Hospitals NHS Trust)
AIM To provide an update of current practice in iliac artery intervention in the UK. MATERIALS AND METHODS Ninety-nine interventional units across the UK completed online submission forms for iliac angioplasty and stent procedures between 2011 and 2014 (inclusive) for the British Iliac Angioplasty and Stenting (BIAS) IV registry. RESULTS Data for 8,294 procedures were submitted during the study period. A total of 12,253 iliac segments were treated in 10,311 legs. The commonest indication was claudication (n=5219, 64.4%). Of the cases performed, 6,582 (80.8%) were performed electively with 3,548 (44.8%) of the procedures performed as a day-case and 6,586 (54%) of the lesions were treated with stents. Successful endovascular intervention (residual stenosis ≤49%) was achieved in 11,847 (97%) of treated segments, with residual stenosis in 1.5%. One point five percent of lesions could not be crossed with a wire. Limb complications were recorded in 366 (3.5%), resulting in 141 patients undergoing an unplanned intervention and 173 (2.2%) patients had a systemic complication. There were 84 deaths prior to discharge, of which 13 (15%) were procedure related. Both systemic and limb complication rates were higher in patients undergoing treatment for critical ischaemia. CONCLUSION Iliac stenting and angioplasty are associated with high technical success with a low complication rate. These data provide up-to-date statistics for patient information and future audit and benchmarking purposes.
#1Damianos G. Kokkinidis (University of Colorado Denver)H-Index: 13
#2Bejan Alvandi (UC Davis: University of California, Davis)H-Index: 6
Last. Ehrin J. Armstrong (University of Colorado Denver)H-Index: 49
view all 9 authors...
Purpose: To evaluate the association between a chronic total occlusion (CTO) and long-term outcomes among patients undergoing endovascular intervention to the external iliac artery (EIA). Methods: A 2-center retrospective study was conducted of 331 patients (mean age 64.7±12.7 years; 221 men) who underwent endovascular intervention for 481 EIA atherosclerotic lesions between 2006 and 2016. A quarter of the lesions (115, 23.9%) were CTOs. The majority of patients (184, 60.9%) were treated for cla...
7 CitationsSource
Objectives This study is the first head-to-head analysis of StarClose vs. ProGlide in patients undergoing 5F or 6F percutaneous coronary catheterization or peripheral artery interventions. Background The clip based StarClose and the suture mediated ProGlide vascular closure device are well established for femoral hemostasis in endovascular therapy. However, until now no prospective randomized study compared the safety and efficacy of the two devices. Methods This prospective, randomized, single-...
7 CitationsSource
#1Lindsay Robertson (Freeman Hospital)H-Index: 22
#1Lindsay Robertson (Freeman Hospital)H-Index: 15
Last. Ralph Jackson (Freeman Hospital)H-Index: 13
view all 4 authors...
Background Vascular closure devices (VCDs) are widely used to achieve haemostasis after procedures requiring percutaneous common femoral artery (CFA) puncture. There is no consensus regarding the benefits of VCDs, including potential reduction in procedure time, length of hospital stay or time to patient ambulation. No robust evidence exists that VCDs reduce the incidence of puncture site complications compared with haemostasis achieved through extrinsic (manual or mechanical) compression. Objec...
40 CitationsSource
Background Atherosclerosis of the iliac artery may result in a stenosis or occlusion, which is defined as iliac artery occlusive disease. A range of surgical and endovascular treatment options are available. Open surgical procedures have excellent patency rates but at the cost of substantial morbidity and mortality. Endovascular treatment has good safety and short-term efficacy with decreased morbidity, complications and costs compared with open surgical procedures. Both percutaneous translumina...
10 CitationsSource
#1Yoshimitsu Soga (Memorial Hospital of South Bend)H-Index: 29
#2Osamu IidaH-Index: 34
Last. Hiroki Takahashi (YU: Yamagata University)H-Index: 25
view all 18 authors...
Background: The patency and complications in aorto-iliac (AI) stenting remain poorly understood. The aim of this paper was to investigate the safety and efficacy after AI stenting. Methods and Results: This study was performed as a large-scale multicenter, retrospective registry. A total of 2,147 consecutive patients with AI disease were enrolled. The safety endpoints were procedure success, complications and 30-day mortality. The efficacy endpoints were primary, assisted primary and secondary p...
69 CitationsSource
#1Raman Uberoi (John Radcliffe Hospital)H-Index: 26
#2Simon Milburn (John Radcliffe Hospital)H-Index: 1
Last. Jon Moss (John Radcliffe Hospital)H-Index: 1
view all 3 authors...
The objective of this study was to audit current practice in iliac artery intervention in the United Kingdom. In 2001 the British Society of Interventional Radiology Iliac Artery Angioplasty-Stent (BIAS) III registry provided the first national database for iliac intervention. It recommended that data collection needed to continue in order to facilitate the dissemination of comparative data to individual units. BIAS III was designed to continue this work and has a simplified data set with an onl...
11 CitationsSource
#1Lars NorgrenH-Index: 61
#2William R. Hiatt (University of Colorado Denver)H-Index: 96
Last. F. G. R. FowkesH-Index: 59
view all 6 authors...
The Trans-Atlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease (TASC) was published in January 2000 as a result of cooperation between fourteen medical and surgical vascular, cardiovascular, vascular radiology and cardiology societies in Europe and North America. This comprehensive document had a major impact on vascular care amongst specialists. In subsequent years, the field has progressed with the publication of the CoCaLis document and the American College o...
5,821 CitationsSource
Previous studies have documented a quantitative relation between alterations in transmural myocardial blood flow and body surface electrocardiographic distributions during rapid atrial pacing after chronic occlusion of the left circumflex coronary artery (LCx). Because other studies have described functional differences between the left anterior descending (LAD) and the LCx perfusion beds, we tested the hypothesis that these two territories exhibit quantitative differences in their responses to ...
14 CitationsSource
Cited By1
#1A. Rodway (Brighton and Sussex University Hospitals NHS Trust)H-Index: 1
Last. Christian Heiss (University of Surrey)H-Index: 62
view all 12 authors...
Summary: Background: Peripheral artery disease presents an increasing healthcare burden worldwide. Day-case angioplasty in a secondary care setting can be a safe and effective means of meeting the ...