Abstract
The purpose of this study was to compare the perioperative and long-term results of initial successful remote iliac artery endarterectomies (RIAEs) with converted procedures. From April 1994 to September 2003, 63 remote endarterectomies of the external and/or common iliac artery were planned in 62 patients (41 males, 42 procedures). The median age was 65 years (range 39-83 years), and the indication for operation was severe claudication in 37 (59%), rest pain in 16 (25%), and gangrene in 10 (16%) procedures. Initial technical success was achieved in 56 (89%) procedures (group 1); seven conversions (group 2) were necessary. In group 1, the 5-year primary patency rate improved from 64 +/- 15% to a primary assisted patency of 88 +/- 9.3% after percutaneous transluminal angioplasty in 11 patients, with 7 requiring stent placement. The 5-year secondary patency rate was 94 +/- 7.4%. The primary and secondary patency rates in group 2 were 86 +/- 19% and 100%, respectively. RIAE can be offered to patients with long occlusions of the iliac arteries as a first treatment option. The inherent risk of a possible conversion of an intended RIAE to a more invasive surgical procedure has no significant adverse clinical effect on the early and 5-year clinical outcomes.
Original language | English |
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Pages (from-to) | 336-42 |
Number of pages | 7 |
Journal | Vascular |
Volume | 13 |
Issue number | 6 |
DOIs | |
Publication status | Published - 5 Jan 2006 |
Externally published | Yes |
Keywords
- Adult
- Aged
- Aged, 80 and over
- Angioplasty, Balloon
- Arterial Occlusive Diseases/diagnostic imaging
- Endarterectomy/methods
- Epidemiologic Methods
- Female
- Gangrene/surgery
- Humans
- Iliac Artery/diagnostic imaging
- Intermittent Claudication/surgery
- Male
- Middle Aged
- Minimally Invasive Surgical Procedures
- Pain/surgery
- Postoperative Complications
- Radiography
- Stents
- Treatment Outcome