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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2008 April;21(2):57-61
Stentgraft and concomitant infrainguinal revascularization in complex iliac occlusive disease: a retrospective study and follow-up in 22 cases
Raouf A. A., Rouleau Y., Clement A., Le Roux P., Genay P., Le Paul Y.
Department of Vascular Surgery, CHD Les Oudairies 85925 La Roche sur Yon, France
Aim. To evaluate the result of angioplasty and a stent-graft for management of complex aorto-iliac occlusive disease.
Methods. Retrospective study of symptomatic patients having iliac occlusives lesions. all patients underwent preoperative and post operative color duplex scan and preoperative arteriography.
Results. Twenty patients underwent angioplasty with stent-graft placement in 22 iliac arteries. Seventeen patients (77.3%) was treated for claudication and 5 patients (22.7%) chronic limb ischemia. Lesions were classified according to TASC as type B in 2 patients, type C and D in 20 patients. In all cases, the external iliac artery was treated. In 9 cases lesions also involved the common iliac artery. Cumulative primary patency for the entire cohort was 95.5% at one month and 75.5% at 3 years. Primary assisted patency was 95.5% at one month and 90.4% at 3 years. In the 13 patients with lesions confined to the external iliac artery alone, three-year primary patency was 74.6%. Cumulative primary patency at 3 years was 90.9% in the 11 limbs that benefited from endarterectomy of the femoral artery bifurcation versus 62.3% in whom with out endarterectomy.
Conclusion. Reconstruction of the iliac artery by endovascular stent-grafting is less invasive than conventional open surgery and provides comparable benefits.