A Contemporary Comparison of Aortofemoral Bypass and Aortoiliac Stenting in the Treatment of Aortoiliac Occlusive Disease

A comparison between aortobifemoral bypass and aortoiliac kissing stents in patients with complex aortoiliac obstructive disease

“…18,19 This study is the analysis of two recent cohorts of patients treated in referral centers in a short period of inclusion compared with the similar published papers. [11][12][13][14] Volume at the physician and hospital levels appears to be a robust predictor of patient outcomes after AIOD treatment, either for open surgery or for endovascular intervention. 19,20 Despite a progressive decrease in the number of AbF bypass grafts per year, Patel et al showed that with only minor exception, endovascular surgery has not appreciably increased the complexity of open aortic operations performed for AIOD.…”

“…Considering longterm survival, we should underline that our study is consistent with many series of interventions for complex AIOD in which most patients were treated for claudication rather than for CLI. [11][12][13][14]19 One possible explanation for the better survival in group 2 is represented by the different long-term postoperative regimen, with a wide use of double antiplatelet treatment in the endovascular group, probably favoring a better control of cardiovascular events during the years. Primary, assisted primary, and secondary patency rates were similar between the two groups; there was, however, a trend toward better results for patients in group 1, particularly when primary and assisted primary patency were examined.…”

“…However, few studies have directly compared AbF bypass grafting and the kissing stent technique, often including patients with heterogeneous clinical conditions. [11][12][13][14] The purpose of this study was to retrospectively compare the early and late outcomes of AbF bypass grafting vs kissing stents in the treatment of complex AIOD.…”

Strategies for managing aortoiliac occlusions: access, treatment and outcomes

“…Aortofemoral grafts are at increased risk of graft infection due to the presence of prosthetic in the groin. Groin complications are not uncommon, affecting up to 25% of patients due to lymphoceles, local infection or dehiscence [51,52]. These early complications can seed the prosthetic material, placing the graft at risk for late infection and sepsis.…”

Treatment of Aortoiliac Occlusive Disease: Medical versus Endovascular versus Surgical Therapy

“…In both series, the post-procedure ABIs increased significantly compared to pre-procedure ABIs, and on average were improved to normal. [42,class IV]. The important results of this study were that the 30-day mortality rate, MI rate, and stroke rate between the two groups were not significantly different; however, the AFB group had more complications in the peri-operative period, including additional emergency surgery and lymphatic and infectious complications.…”