Document Detail


Does conversion of intended remote iliac artery endarterectomy alter the early and long-term outcome?
MedLine Citation:
PMID:  16390651     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Luuk Smeets; Garmt van der Horn; Suzanne S Gisbertz; Gwan Ho; Frans Moll
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Vascular     Volume:  13     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2006-01-04     Completed Date:  2006-04-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  336-42     Citation Subset:  IM    
Affiliation:
Department of Surgery, Twenteborg Hospital, Almelo, the Netherlands. smeets_luuk@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon
Arterial Occlusive Diseases / radiography,  surgery*
Endarterectomy / methods*
Epidemiologic Methods
Female
Gangrene / surgery
Humans
Iliac Artery / radiography,  surgery*
Intermittent Claudication / surgery
Male
Middle Aged
Pain / surgery
Postoperative Complications
Stents
Surgical Procedures, Minimally Invasive
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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