Comparison of Aortobifemoral Bypass to Aortoiliac Stenting with Bifurcation Reconstruction for TASC II D Aortoiliac Occlusive Disease

Smith, Andrew H.; Beach, Jocelyn M.; Dash, Siddhartha Sankar; Rowse, Jarrad W.; Parodi, F. Ezequiel; Kirksey, Lee; Caputo, Francis J.; Lyden, Sean P.; Smolock, Christopher J.

doi:10.1016/j.avsg.2021.10.040

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…El estudio demostró que los pacientes tratados con CERAB tuvieron estancias hospitalarias más cortas y menor tasa de infección de sitio operatorio en comparación con los tratados con BFAB (8,0 versus 37,5%, respectivamente). Sin embargo, los pacientes tratados con BFAB mostraron tasas de permeabilidad primaria a cinco años significativamente más altas en comparación con quienes se trataron con CERAB (88,1% versus 50,8%, respectivamente), así como tasas superiores de supervivencia a cinco años (100% versus 76.5%, respectivamente) 10 .…”

Section: Discussionunclassified

Leriche Syndrome: a rare presentation of arterial occlusive disease in Latin America

Portilla-Rojas,

Torrez,

Avendaño

et al. 2024

RevArgCirCard

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Leriche syndrome is a chronic arterial occlusive disease that primarily affects the lower abdominal aorta and iliac artery bifurcation. We present the case of a 53-year-old male with a classical Leriche triad of gluteal claudication, erectile dysfunction, and the absence of a femoral pulse. The patient had a history of hypertension and heavy smoking. Physical exam showed no ulcers. Distal capillary fill was greater than 10 seconds. Complementary exams reported normal findings. Leriche syndrome was suspected, and thoracoabdominal computed tomography angiography and lower limb computed tomography angiography were performed, revealing complete occlusion of the lower aortic bifurcation and iliac artery involvement. A retroperitoneal approach for bifemoral aortic bypass was performed. The patient had an optimal postoperative period and recovery.

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Section: Discussionunclassified

Leriche Syndrome: a rare presentation of arterial occlusive disease in Latin America

Portilla-Rojas,

Torrez,

Avendaño

et al. 2024

RevArgCirCard

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“…29 However, the last decade has shown a clear trend toward endovascular management as the first line treatment strategy of AIOD even among TASC C and D lesions. 11,14,[30][31][32][33][34][35][36] This has been mirrored by a fall in the number of patients undergoing open ABF reconstruction. 36,37…”

Section: Aortobifemoral Bypassmentioning

confidence: 99%

“…Long-segment stenting of the infrarenal aorta and iliac arteries, with or without femoral endarterectomy, is now one of the most commonly adopted treatments of severe AIOD. 31 Even among TASC C and D lesions, endovascular therapy has demonstrated great promise and formidable outcomes. 31 One multicenter study showed the KS technique to provide comparable early and late patency results compared to open surgical options.…”

Section: Endovascular Aorto-iliac Reconstructionmentioning

confidence: 99%

“…A retrospective, comparative study looking at 25 ABF bypasses compared to 75 aortoiliac stenting with bifurcation reconstruction (AISBR) procedures reported a five-year primary patency for AISBR of 50% and 88% for ABF bypass. 31 However, the five-year primary assisted patency, secondary patency, freedom from reintervention and major adverse limb events didn’t differ. 31 Rocha-Neves et al 11 compared clinical and technical success of an endovascular first approach to open ABF bypass surgery for TASC D bilateral AIOD lesions in a nonrandomized study and found a higher technical success in the ABF group, however, despite the fact that the endovascular group had a greater incidence of CHF and CKD, limb salvage and patency rates were not significantly different.…”

Section: Introductionmentioning

confidence: 97%

“…31 Even among TASC C and D lesions, endovascular therapy has demonstrated great promise and formidable outcomes. 31 One multicenter study showed the KS technique to provide comparable early and late patency results compared to open surgical options. 33…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Aorto-Iliac Reconstruction vs. Aortobifemoral Bypass as First Choice for a Durable Revascularization for Aorto-Iliac Occlusive Disease

Choudhry

Shaw

2022

Vasc Endovascular Surg

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Introduction Aortoiliac occlusive disease (AIOD) is defined as atherosclerotic obstruction of the distal abdominal aorta and iliac arteries. Multiple options exist for management of AIOD including endovascular aortoiliac reconstruction and aortobifemoral bypass. As new technologies are developed, the best approach to manage this condition is evolving. Methods We performed a literature review to assess the current state of endovascular aortoiliac reconstruction and aortobifemoral bypass as options for revascularization of aortoiliac occlusive disease. Conclusion Endovascular aortoiliac reconstruction and aortobifemoral bypass are both feasible and clinically effective options for management of aortoiliac occlusive disease. No randomized controlled trial has been performed to show one option to be more effective than the other. Recent literature demonstrates comparable long-term patency, limb salvage and survival among endovascular approaches to the treatment of AIOD with quicker recovery, lower costs and improved quality of life when compared to open aortobifemoral bypass (ABF) surgery. Selection of procedure should be tailored to the individual patient in order to develop an effective long-term successful strategy for management of aortoiliac occlusive disease. Further study is warranted to define durability of these endovascular approaches as well as patient specific characteristics that influence outcomes.

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Offene Chirurgie der aortoiliakalen Strombahn zur Behandlung der PAVK

Rother,

Meyer

2024

Gefässchirurgie

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Comparison of Aortobifemoral Bypass to Aortoiliac Stenting with Bifurcation Reconstruction for TASC II D Aortoiliac Occlusive Disease

Cited by 14 publications

References 18 publications

Leriche Syndrome: a rare presentation of arterial occlusive disease in Latin America

Leriche Syndrome: a rare presentation of arterial occlusive disease in Latin America

Endovascular Aorto-Iliac Reconstruction vs. Aortobifemoral Bypass as First Choice for a Durable Revascularization for Aorto-Iliac Occlusive Disease

Offene Chirurgie der aortoiliakalen Strombahn zur Behandlung der PAVK

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