| 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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Computer-assisted instrumentation during endoscopic transaxillary first rib resection for thoracic o...
Next Document: Stent grafts for thoracic aortic pathology: single-center experience in Western Australia.