Endovascular management of aortoiliac occlusive disease with thrombosis: an analysis of 18 cases        YE Meng，ZHANG Hao，HUANG Xiao-zhong, et  al.  Department of Vascular Surgery, Renji Hospital, Shanghai Jiaotong University，Shanghai 200001 ，China
Corresponding  author：ZHANG Ji-wei，E-mail: zhangjiwei001@sina.com.cn
Abstract    Objective    To review the outcomes and safety of endovascular treatment of aortoiliac occlusive disease with thrombosis. Methods    Between June 2006 and February 2008, 18 patients underwent treatment for occlusion of the aortoiliac arteries complicating with thrombosis at Renji Hospital of Shanghai Jiaotong University. Three patients underwent surgical thrombectomy with ad-junctive angioplasty; 9 patients underwent angioplasty secondary to thrombolysis; 6 patients underwent primary iliac angioplasty with adjunctive thrombolysis. Results    The technical success rate was 83.3%. The postoperative mortality rate was 5.6%, and limb survival rate was 100%. With a mean follow-up period of 14.5 months (range from 12～26 months), 1-year primary patency, assisted patency rates and second patency were 69.2%, 84.6% and 92.3%. Compared with angioplasty secondary to thrombolysis, the period of thrombolysis and the volume of urokinase decreased significantly in the group underwent primary angioplasty with thrombolysis(P<0.05). Conclusion    All the treatment are acceptable management strategies for aortoiliac occlusive disease with thrombosis. The appropriate choice of treatment depends on the severity level of the ischemia.