Analytical Study of the Material Costs of Endovascular Procedures

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.