Femoropopliteal arterial reconstruction with intraoperative iliac transluminal angioplasty for disabling claudication: Results of a combined approach

Vliet, J.A. van der; Mulling, F.J.; Heijstraten, F.M.J.; Reinaerts, H. H. M.; Buskens, F.G.M.

doi:10.1016/s0950-821x(05)80836-9

Cited by 15 publications

(4 citation statements)

References 8 publications

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“…Numerous studies (8)(9)(10)(11)(12) have reported combined procedures of angioplasty followed by stenting and bypass. Alimi et al (13) reported that iliac transluminal angioplasty and distal surgical revascularization could be performed as a one-step technique in high-risk groups only.…”

Section: Discussionmentioning

confidence: 99%

Operative management of multilevel iliofemoral occlusive disease

Saha

Terry²,

Ferraris³

2009

Int J Angiol

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Section: Discussionmentioning

confidence: 99%

Operative management of multilevel iliofemoral occlusive disease

Saha

Terry²,

Ferraris³

2009

Int J Angiol

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“…[24][25][26][27] We recommend PTA for only short (up to 5 cm) localized stenotic lesions of the iliac artery before distal bypass surgery.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16][17] Surgical correction of several diseased segments is not widely used but promises the best results. [17][18][19][20][21][22][23] In recent studies, combining percutaneous transluminal angioplasty (PTA) of the iliac segment with surgical correction of femoropopliteal occlusions promises good results [24][25][26][27] as well as combining inflow procedures with sympathectomy. 28 Aggressive surgical treatment of failed grafts significantly improved the results of treatment, particularly the secondary graft patency rates.…”

mentioning

confidence: 99%

Simultaneous Versus Two–Stage Multisegmental Reconstruction for Critical Lower Limb Ischemia

Zukauskas

Ulevicius

1995

Ann Saudi Med

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Treatment of critical limb ischemia (CLI) remains one of the most demanding problems of vascular surgery, especially when it is due to multisegmental occlusive arterial disease. Three main options of treatment are accepted: inflow procedure alone, simultaneous inflow and outflow reconstructions, or two-stage surgery. To compare the results of the latter two was the aim of this study. During a six year period from 1987 to 1992, 1953 aortofemoral reconstructions were performed. In 245 cases (12.5%), sequential aortofemorodistal (popliteal or tibial) procedures were necessary for successful treatment of CLI -Grade III and IV Fountain. In 161 cases, twosegment reconstruction was performed in one stage (Group A), and in 84 cases (Group B), two separate operations were done -outflow procedure followed after the inflow surgery. Results in perioperative and remote postoperative periods were analyzed regarding limb salvage and graft patency rates using a life table method. Perioperative mortality was 3% in Group A and 6% in Group B. The limb salvage rate was 95.6% at one year and 90.4% at five(A), and 88.8% and 80% (B) respectively. Primary overall graft patency rate was 91.4% at one year and 65.5% at five (A) and 84.9% and 59.4% (B) respectively. Secondary graft patency was 92.2% at one year and 81.8% at five (A) and 86.1% and 65.9% (B

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“…Frühere Arbeiten [1,2,3,4,11,12,13,15,19,17] haben gezeigt, dass nach vorheriger perkutaner aortoiliakaler Stenteinlage anschließende periphere Bypassrekonstruktionen gute Ergebnisse brachten, die vergleichbar mit denjenigen Rekonstruktionen waren, bei denen die Beckenstrombahn primär unverändert war und keine Stenosierungen oder Verschlüsse aufwies. Diese beiden Schritte, die Stenteinlage und das Bypassverfahren, können somit ohne weiteres zu einem einzigen operativen Eingriff zusammengefasst werden [20].…”

Section: Diskussionunclassified

The iliofemoral crossover bypass combined with intraoperative iliac stenting for inflow improvement

et al. 2001

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Zusammenfassung Fragestellung: Durch die intraoperative Anwendung endovaskulärer Therapieverfahren wie PTA oder Stenteinlage entstehen zusammen mit der gefässchirurgischen Operation neuartige sogenannte endovaskuläre Kombinationseingriffe.Bei einer aortoilikalen Verschlusskrankheit vom Beckentyp mit beidseitigen Verschlussprozessen soll nun alternativ zur Implantation einer aortobifemoralen Prothese die Anwendung eines endovaskulären Kombinationseingriffes bestehend aus iliofemoralem Crossover-Bypass mit simultaner aortoiliakaler Stenteinlage untersucht werden. Patienten und Methode: Im Zeitraum von 3/95 bis 7/98 wurden 24 Patienten in einem Durchschnittsalter von 63,8 Jahren (48-73 J.) mit dieser Kombinationsmethode behandelt.Hierbei erfolgte intraoperativ eine Stenteinlage in die distale Aorta und A.iliaca communis mit anschließendem iliofemoralem Crossover-Bypass.Bei zusätzlich vorliegenden Profundaabgangsstenosen wurden auch femorofemorale Crossover-Bypässe implantiert. Ergebnisse: In dem durchschnittlichen Nachbeobachtungszeitraum von 42 Monaten fand sich eine primäre Durchgängigkeitsrate von 100%.In allen Fällen konnten die präoperativ vorliegenden AVK-Stadien IIb bis IV in ein Stadium IIa zurückgeführt werden. Schlussfolgerung: Das endovaskuläre Kombinationsverfahren bestehend aus aorto-ilakaler Stenteinlage und ilio-femoralem Crossover-Bypass-Implantation stellt ein sicheres und sehr effektives Verfahren dar Gefäßchirurgie 2001 · 6:145-150 bei der Behandlung der arteriellen Verschlusskrankheit vom Beckentyp mit beidseitigen Verschlussprozessen. SchlüsselwörterEndovaskulärer Kombinationseingriff · Crossover-Bypass · Iliakale Stenteinlage R. Scharrer-Pamler · X. Kapfer · K.-H. Orend L. Sunder-Plassmann The iliofemoral crossover bypass combined with intraoperative iliac stenting for inflow improvement AbstractObjective: To study the outcome of treating biiliacal aortoiliac occlusive disease by combined procedures consisting in placement of an iliofemoral crossover bypass and aortoiliac stenting for inflow improvement. Design: Retrospective study of 24 patients with aortoiliac occlusive disease who were treated with this combined endovascular procedure. Materials: From March 1995 to July 1998 24 patients underwent this combined procedure.Mean age was 63.8 years (range 48-73 years).All aortoiliac stents were implanted intraoperatively followed by placement of an iliofemoral crossover bypass.In case of stenosis of the deep femoral artery, a femoral-femoral crossover bypass was preferred. Results: In the mean follow-up period of 42 months, primary assisted patency was 100%. Clinical signs of arterial occlusive disease were decreased to Fontaine stage IIa in all cases. Conclusions: This experience demonstrates that iliofemoral crossover bypass combined with simultaneous stent implantation for inflow improvement is an effective and low invasive treatment in patients with extensive aortoiliac occlusive disease. KeywordsCombined endovascular procedure · Crossover bypass · Iliac stenting | Gefäßchirurgie 3•2001 146 O...

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Femoropopliteal arterial reconstruction with intraoperative iliac transluminal angioplasty for disabling claudication: Results of a combined approach

Cited by 15 publications

References 8 publications

Operative management of multilevel iliofemoral occlusive disease

Operative management of multilevel iliofemoral occlusive disease

Simultaneous Versus Two–Stage Multisegmental Reconstruction for Critical Lower Limb Ischemia

The iliofemoral crossover bypass combined with intraoperative iliac stenting for inflow improvement

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