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    Long-Term Outcomes of Endovascular Intervention for Iliac Artery Stenosis: A Single-Center Experience
    (2024) Altunova, Mehmet; Tasbulak, Omer; Evsen, Ali; Uzun, Nedim; Demir, Yusuf; Panc, Cafer; Atmaca, Sezgin
    Abstract Objectives: This study aims to evaluate the technical success, safety, and long-term outcomes of iliac artery endovascular procedures performed at our institution between 2017 and 2022 and to investigate potential risk factors associated with in-stent restenosis (ISR). Methods: This single-center, observational, retrospective cohort study included 398 patients who underwent endovascular intervention for symptomatic iliac artery stenosis. Data were obtained from electronic records, and patients were followed up clinically and radiologically. Multivariate Cox regression analysis was used to identify independent predictors of ISR. Results: ISR was observed in 11.3% of patients during a mean follow-up of 34.7 months. Atrial fibrillation (AF) (p=0.019) and stent diameter (p=0.006) emerged as independent determinants of ISR development. Kaplan-Meier analysis showed a significant difference in ISR between patients with and without AF (log-rank p = 0.022). Conclusion: This study highlights AF and stent diameter as independent predictors of ISR in long-term follow-ups after iliac artery stenting. Patients with AF may require closer monitoring, while appropriate stent selection is crucial in minimizing ISR risk. These findings contribute to optimizing patient management strategies in peripheral artery disease.