Document Detail


Semiclosed transfemoral iliac endarterectomy with an oscillating ring stripper.
MedLine Citation:
PMID:  2597626     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The technique of endarterectomy for the removal of occlusive atherosclerotic lesions of the aorta and iliac arteries has been utilized successfully in the revascularization of ischemic limbs since its introduction in 1951. The oscillating loop endarterectomy device (Amsco-Hall arterial oscillator) has proven to be useful for endarterectomy of segmental occlusive disease as a substitute for bypass with prosthetic graft. For our elderly debilitated patients, we have adopted a new technique of semiclosed transfemoral iliac endarterectomy for management of occlusive external iliac disease with a patent common iliac artery. We report seven patients treated during May 1987 through May 1988 for external iliac artery occlusion by transfemoral oscillating loop endarterectomy. At 12 months for follow-up review, the cumulative limb salvage rate was 80% with no perioperative mortality. One patient required above-knee amputation eight months following endarterectomy to control forefoot sepsis. Two patients required subsequent leg bypass procedures to achieve full healing of foot level amputation. One patient required dilatation of residual stenosis at the iliac bifurcation by percutaneous balloon angioplasty. Semiclosed transfemoral endarterectomy with the Amsco-Hall oscillating loop device remains an attractive option to the vascular surgeon for recanalization of the iliac artery without the need for an extensive retroperitoneal dissection.
Authors:
C A Stevick; R J Bloom
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  3     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1990-01-31     Completed Date:  1990-01-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  392-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Veterans Administration Center, Palo Alto, California.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arterial Occlusive Diseases / surgery*
Endarterectomy / instrumentation*,  methods
Femoral Artery
Humans
Iliac Artery / surgery*
Male
Middle Aged

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


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