Remote iliac artery endarterectomy: seven-year results of a less invasive technique for iliac artery occlusive disease

Smeets, Luuk; Borst, Gerrit-Jan de; Vries, Jean-Paul de; Berg, Jos C. van den; Ho, Gwan H.; Moll, Frans L.

doi:10.1016/s0741-5214(03)00929-7

Cited by 33 publications

(19 citation statements)

References 26 publications

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“…In a study by Smeets et al, with 49 remote iliac artery endarterectomies being performed in 48 patients, the indications for surgery were claudication in 28 patients (57 %), rest pain in 13 patients (27 %) and gangrene in 8 patients (16 %) [5]. In our study, a large number of patients presented with advance stages of the disease like gangrene and tissue loss (85 %).…”

Section: Discussionmentioning

confidence: 44%

“…They show the 2-year primary, primary assisted and secondary patency of 73 %, 86 % and 86 %, respectively [8,9]. Smeets et al have shown a 3-year cumulative primary patency rate of 60.2 %±12 % with secondary patency rates of 94.2 %±5.5 % [5]. Another study by Rosenthal et al also shows higher cumulative patency rates of 93.2 % at 3 months and 74.9 % at 1 year [10].…”

Section: Discussionmentioning

confidence: 99%

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Remote Endarterectomy: An Alternative to Surgical Bypass

Chandrashekar

Desai

et al. 2012

Indian J Surg

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Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Remote Endarterectomy: An Alternative to Surgical Bypass

Chandrashekar

Desai

et al. 2012

Indian J Surg

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“…19 The ring strip cutter (MollRing Cutter, Vascular Architects Inc, San Jose, Calif) and Vollmar ring stripper enable retrograde endarterectomy of iliofemoral occlusions under local anesthesia. 20 They avoid prosthetic material, anastomotic complications, and extraperitoneal dissection. They are less suitable for aortic and CIA disease and were thought to be inadequate in our patient population.…”

Section: Resultsmentioning

confidence: 99%

Use of Extraperitoneal Iliac Artery Endarterectomy in the Endovascular Era

2008

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Although iliac artery (IA) endarterectomy has largely been replaced by bypass and endovascular options, open endarterectomy continues to play an important role in selected patterns of occlusive disease. The objective of this report is to present a contemporary clinical series of patients having undergone IA endarterectomy. Specifically, we define patterns of disease amenable to open endarterectomy and provide an updated technical note of this procedure. A retrospective study on 23 patients with IA occlusions unsuitable for radiologic intervention (TransAtlantic Inter-Societal Consensus [TASC] C and D lesions) underwent extraperitoneal IA endarterectomy. Twenty-five primary IA endarterectomies were performed. Of these, five required more extensive endarterectomy, three of the distal aorta and two of the contralateral IA. Sixteen of the 25 endarterectomies required common femoral artery endarterectomy and 6 required iliofemoral bypass. The average follow-up was 26 months. Procedure-related mortality occurred in one patient (4.3%). Within 4 months, one patient underwent an aortofemoral bypass and two patients required major amputation. Primary patency rates were 96% at 3 months and 88% at 1, 2, and 3 years. This series shows that in selected patterns of aortoiliac occlusive disease, endarterectomy remains an important alternative to consider.

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“…1,2 When PTA is not acceptable for iliac lesions, conventional surgery is the most appropriate procedure to employ. 10,11 In the case presented here, the primary reason for choosing the surgical approach was the extent of occlusive disease, which had compromised the entire iliofemoral transition. The choice to use a surgical access for the proximal anastomosis, using the left external iliac artery as the donor artery, was because our service has higher infection rates when the groin is used, possibly related to the number of comorbidities and low socioeconomic status of our patients.…”

Section: Discussionmentioning

confidence: 96%

Revascularização ilíaco-femoral alternativa em doença oclusiva aortoilíaca extensa

Giusti¹,

Fernandes²,

Soares³

et al. 2019

J. vasc. bras.

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Resumo Nas últimas décadas, observou-se o aumento expressivo do tratamento endovascular para a doença oclusiva aortoilíaca. Muitos benefícios foram demonstrados, principalmente nas lesões arteriais não complexas do eixo ilíaco; porém, ainda existe dificuldade na obtenção de resultados adequados a médio e longo prazo quando falamos de doenças oclusivas extensas. As derivações arteriais para artérias vicariantes alternativas do complexo femoro-genicular para salvamento de membro são bem conhecidas na literatura em casos desfavoráveis para cirurgias convencionais ou endovasculares. Descrevemos o caso de um paciente portador de doença oclusiva aortoilíaca extensa tratado com derivação arterial no território ilíaco-femoral, utilizando substituto autógeno alternativo e a artéria descendente femoral lateral como artéria receptora. Derivações e substitutos alternativos, utilizados normalmente em casos de exceção, podem e devem fazer parte do arsenal terapêutico vascular, podendo contribuir nos casos em que a cirurgia endovascular ainda não nos permite alcançar bons resultados.

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Remote iliac artery endarterectomy: seven-year results of a less invasive technique for iliac artery occlusive disease

Abstract: Remote endarterectomy in external and common iliac arterial occlusive disease is a feasible endovascular procedure with a low complication rate. The midterm primary-assisted patency rate is good.

Cited by 33 publications

References 26 publications

Remote Endarterectomy: An Alternative to Surgical Bypass

Remote Endarterectomy: An Alternative to Surgical Bypass

Use of Extraperitoneal Iliac Artery Endarterectomy in the Endovascular Era

Revascularização ilíaco-femoral alternativa em doença oclusiva aortoilíaca extensa

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