Donor iliac angioplasty and crossoverfemorofemoral bypass

Role of Femorofemoral Crossover Bypass Grafting for Unilateral Iliac Atherosclerotic Disease: A Comparative Evaluation with Anatomic Bypass

“…The progression of disease in the donor iliac artery can lead to graft failure and a variety of incidences ranging from 1% to 15% have been reported in terms of the deterioration of the donor iliac artery. 8,12,[13][14][15][16] In the present study, 2 out of 99 cases (2%) required reintervention to improve the iliac inflow in order to maintain patency of a femorofemoral crossover bypass graft. The impaired distal perfusion in the donor limb is referred as a steal phenomenon.…”

“…16,19,20 Our experiences with 12 of these tandem procedures are promising, yielding a 2-year patency rate of 100%. Although the number of patients is still small and further evaluation is necessary, stent placement for the donor iliac artery lesion followed by a crossover bypass might yield acceptable long-term results in high-risk patients.…”

Long-term results of a multicenter randomized study on direct versus crossover bypass for unilateral iliac artery occlusive disease

“…Not surprisingly use of endovascular techniques that can provide excellent long-term results in selected iliac artery lesions has improved the outcome of crossover bypass in patients with a suboptimal donor iliac artery. [22][23][24] The experience of several authors [25][26][27] has supported this view. In nonrandomized studies comparing crossover femoral grafts with or without donor iliac balloon angioplasty, both Schneider et al 25 and Perler et al 24 concluded that patency of the crossover bypass in patients who underwent preliminary stenting of the iliac artery was comparable to that of patients whose donor iliac artery was normal.…”

Femorofemoral versus aortobifemoral bypass: Outcome and hemodynamic results

“…If a gradient greater than 15% was observed, the responsible iliac lesions observed on the arteriogram were treated with percutaneous transluminal balloon angioplasty (PTBA) . 12,13 If a gradient less than 15% could not be achieved with percutaneous treatment, a procedure other than FFB was recommended.…”