Endovascular procedures for aorto-iliac occlusive disease are associated with superior short-term clinical and economic outcomes compared with open surgery in the inpatient population

Abstract

Endovascular procedures have superior short-term clinical and economic outcomes compared with open procedures for the treatment of AIOD in the inpatient setting. Further studies are needed to examine long-term outcomes and access-related issues.

A comparison between aortobifemoral bypass and aortoiliac kissing stents in patients with complex aortoiliac obstructive disease

“…18,19 This study is the analysis of two recent cohorts of patients treated in referral centers in a short period of inclusion compared with the similar published papers. [11][12][13][14] Volume at the physician and hospital levels appears to be a robust predictor of patient outcomes after AIOD treatment, either for open surgery or for endovascular intervention.…”

Robotic-assisted aortic surgery with and without minilaparotomy for complicated occlusive disease and aneurysm

“…2,3 When compared with open procedures for the treatment of aortoiliac occlusive disease (AIOD), endovascular procedures have superior short-term clinical and economic outcomes. 7 The current recommendation from the TransAtlantic InterSociety Consensus (TASC) II guideline for the Management of Peripheral Arterial Disease states: "Endovascular therapy is the treatment of choice for type A lesions and surgery is the treatment of choice for type D lesions; endovascular treatment is the preferred treatment for type B lesions and surgery is the preferred treatment for good-risk patients with type C lesions." 8 Laparoscopic or robotic-assisted aneurysm repair is another less invasive method for the repair of an aneurysm, creation of a bypass for occlusive disease, or as secondary intervention after EVAR for patients who are not suitable for percutaneous reintervention and otherwise would require an open operation.…”

Leriche Syndrome: Percutaneous Treatment with Mechanical Thrombectomy: A Case Report

“…Furthermore, open reconstructionsare related to higher operative morbidity, mortality [11,12], length of hospital stay [9,13] and short-term costs [14]. Evaluating percutaneous treatment, the risks of renal insufficiency, embolization and access complications are not insignificant; however, they can be prevented or managed without significant clinical consequence.…”