Evidence map›Paper›PMID 36826489›Full record

ArticleCardiovascular and interventional radiology2023

Outcomes of Self-Expanding Covered Stents for the Treatment of External ILIAC Artery Obstructive Disease.

Francesco Squizzato, Vicente Mosquera-Rey, Amer Zanabili Al-Sibbai, Lino Antonio Camblor Santervas, Edoardo Pasqui, Giancarlo Palasciano, Gianmarco de Donato, Manuel Alonso Pérez, Michele Antonello, Michele Piazza

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Cardiovascular and interventional radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Endovascular Repair of Large Iliac Artery Pseudoaneurysm after Remote Transplant Nephrectomy.The International journal of angiology : official publication of the International College of Angiology, Inc · 2026
    Article
  4. Article
  5. Short-term outcomes of the iCover balloon-expandable covered stent for iliac artery lesions.Diagnostic and interventional radiology (Ankara, Turkey) · 2025
    Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Francesco SquizzatoDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy. francesco_squizzato@icloud.com.ORCID http://orcid.org/0000-0001-9327-2934
Vicente Mosquera-ReyAngiology and Vascular Surgery Department, Hospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Amer Zanabili Al-SibbaiAngiology and Vascular Surgery Department, Hospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Lino Antonio Camblor SantervasAngiology and Vascular Surgery Department, Hospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Edoardo PasquiDivision of Vascular Surgery, University of Siena, Siena, Italy.
Giancarlo PalascianoDivision of Vascular Surgery, University of Siena, Siena, Italy.
Gianmarco de DonatoDivision of Vascular Surgery, University of Siena, Siena, Italy.
Manuel Alonso PérezAngiology and Vascular Surgery Department, Hospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Michele AntonelloDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Michele PiazzaDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Hospital Universitario Central de Asturias · ESUniversity of Padua · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the early results and mid-term patency rates of external iliac artery (EIA) stenting using self-expanding covered stents.

methodsWe conducted a multicenter retrospective study (2015-2021), including patients receiving primary endovascular treatment of external iliac artery occlusive disease with self-expanding covered stents. All patients were treated with the Viabahn (W.L Gore & Associates, Inc., Flagstaff, AZ-USA) stent. Patency and limb salvage rates were estimated with Kaplan-Meier curves.

resultsNinety-three patients (mean age, 69 ± 9 years; 81% males) were treated for disabling claudication in 44%, rest pain in 28%, and tissue loss in 28%. TASC C/D lesions were present in 72% and iliac complete occlusion in 30%. Mean lesion length was 6.9 ± 2.4 cm; 30% had moderate/severe EIA calcifications; and the mean iliac tortuosity index was 1.17 ± 0.13. Technical success was 100%. There was one perioperative death (1.4%) and procedural complication rate was 6.5%. At 42 months (mean, 25 months), primary patency was 89.8% (95%CI 83-98); the presence of EIA tortuosity (tortuosity index > 1.25, 87.7 ± 11% vs 89.9 ± 8%; P = .6) or severe calcifications (87.6 ± 9% vs 96.0 ± 8%; P = .400) had no significant impact. After univariate analysis, the use of a stent with diameter < 8 mm (HR 8.5, 95%CI 3.24-14.22; P < .001) was negatively associated with primary patency.

conclusionsThe use of self-expanding covered stents provided excellent early and mid-term results in the treatment of obstructive disease of the EIA, also in cases of high EIA tortuosity and high grade of calcifications. The use of a < 8 mm-diameter stent was associated with a reduced primary patency.

Indexed as

Arterial Occlusive DiseasesIliac ArteryAgedFemaleHumansMaleMiddle AgedProsthesis DesignRetrospective StudiesRisk FactorsStentsTreatment OutcomeVascular PatencyIliac arteryMulticenter studyPeripheral arterial diseaseSelf-expandable metallic stentStent

Identifiers

PMID36826489
PMCPMC10156894
OpenAlexW4321748656

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.