Emerging role of endovascular grafts in complex aortoiliac occlusive disease

Abstract

Endovascular grafting to treat advanced aortoiliac occlusive disease can be accomplished with good clinical outcome and acceptable short-term patency. This endovascular technique can be a viable alternative to conventional surgical revascularization in patients with advanced aortoiliac occlusive disease at high risk.

Hybrid surgery in patients with chronic ischemia of lower extremities

“…Они позволяют уменьшить число хирургических досту-пов и травматичность оперативных вмешательств, а также сократить количество этапных операций [4]. Кроме того, необходимость в проведении гибридных операций воз-никает при поражении артерий в местах физиологических изгибов (ОПА и НПА), так как установка стентов в данные зоны сопровождается их поломкой и тромбозом артерии.…”

“…Ключевые слова: хроническая ишемия нижних конечностей, хирургическое лечение. бозы наблюдаются у 1,4-2,1% больных [4,5,7,8]. Высокая эффективность гибридных оперативных вмешательств в отдаленном периоде с незначительным числом после-операционных осложнений делает перс-пективным развитие этого направления реконструктивной сосудистой хирургии [7].…”

Endovascular Treatment Showing Promising Short-Term Results in Patients with Total Bilateral Aortoiliac Occlusion

“…Therefore, a smaller number of people can benefit from surgery compared to endovascular therapy. Moreover, there are different studies that confirm safety, efficacy, and promising outcomes of endovascular therapy, although the number of studies is limited and insufficient (2,8). Different methods such as using bare stents, covered stents or different placement methods have been studied but more thorough evaluations are yet suggested (3,8,(13)(14)(15)(16)(17).…”

“…During each visit, the treatment process consisting of femoral pulse examination, improvement of disease signs and symptom evaluation and patient satisfaction number (in terms of patient's overall satisfaction from the procedure on a visual 10 scale with 10 being the best) was performed and documented. In case any suspicion of suboptimal stent performance such as poor femoral pulses, relapse of symptoms, or unfavorable blood 2 Iran J Radiol. In Press(In Press):e61843.…”

“…Lately, there has been the trend to use endovascular treatment (ET) widely since it has been shown to have promising outcomes in different studies although further studies are suggested (2)(3)(4)(5)(6)(7)(8). Due to the limited number of studies and absence of unanimous decision on the best modality to be used and patient criteria, new techniques for ET in occlusive aortoiliac lesions are introduced and many show desirable results for special patient settings (3,9).…”