Comparison of Midterm Outcomes between Surgical Treatment and Endovascular Reconstruction for Chronic Infrarenal Aortoiliac Occlusion

Lun, Yu; Zhang, Jian; Wu, Xiaoyu; Gang, Qingwei; Shen, Shikai; Jiang, Han; Duan, Zhi-quan; Xin, Shijie

doi:10.1016/j.jvir.2014.10.018

Cited by 20 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But the long term patency rates of endovascular therapies are uncertain for type C and D lesions. (2)(3)(4) In some recent reports authors revealed good results that approximating those of open surgery for type B or C lesions. Saher S Sabri at al.…”

Section: Discussionmentioning

confidence: 98%

“…AIS for infrarenal abdominal aortic occlusions were associated with a shorter hospital stay and lower postoperative morbidity rates than open surgery. (2) Endovascular treatment of extensive AIOD can be performed successfully by experienced interventionists in selected patients. This case was an example of serious, nearly total occlusion of distal aorta just at the aortic bifurcation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular treatment of aortoiliac occlusive disease involving the aortic bifurcation: Case Report

Yıldırım¹,

Şenarslan²,

Kurdal³

2018

ejcm

View full text Add to dashboard Cite

Endovascular treatment of aortoiliac occlusive disease (AIOD) involving the aortic bifurcation is challenging. We presented you a 81 year-old male patient suffering from vertigo and buttock claudication. Both carotid and peripheric angiographies were performed in our cardiovascular clinic. The left carotid artery was 90% stenotic and the distal abdominal aorta was occluded (TASC II Classification, Type C lesion, short segment distal aortic occlusion at aortic bifurcation). The patient underwent endovascular treatment for AIOD (occlusive lesion at aortic bifurcation), two weeks after the carotid endarterectomy operation. The occlusions were recanalised succesfully with a bare-metal self expandable stent and two kissing covered ballon expandable stents for both iliac arteries. Endovascular treatment of aortic bifurcation lesions is a suitable, less invasive alternative for high-risk patients for open surgery.Key words: Aortoiliac occlusive, aortic bifurcation, endovascular treatment, distal abdominal aorta. AbstractYıldırım F., Amanvermez Şenarslan D., Kurdal A. T., Öztürk T., Damar A., Cerrahoğlu M., İşkesen İ., Tetik Ö. Endovascular treatment of aortoiliac occlusive disease involving the aortic bifurcation: Case

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of aortoiliac occlusive disease involving the aortic bifurcation: Case Report

Yıldırım¹,

Şenarslan²,

Kurdal³

2018

ejcm

View full text Add to dashboard Cite

show abstract

“…Previous studies have reported technical success rate to vary between TASC II subtypes, as TASC A (91.6 -96.9%) has higher and TASC D has lower rates (71.4 -91.6%) (3,16,17). On the hand, 4 Iran J Radiol.…”

Section: Discussionmentioning

confidence: 99%

Two-Year Primary Patency Rates After Aortoiliac Occlusive Disease Endovascular Treatment

et al. 2018

View full text Add to dashboard Cite

Background: In the last decade, great attention has been paid to endovascular treatment and now it is considered as a treatment of choice in aortoiliac occlusive disease. Objectives: To report our 2-year follow-up experience in this field. Patients and Methods: A retrospective review was conducted on patients who underwent aortoiliac angioplasty with or without stenting from September 2013 to March 2015. Medical profile, clinical signs and symptoms, and technical variables of angioplasty were recorded. Technical success rate and primary patency rate were the main outcome measures.

show abstract

“…4 Taeymans et al 5 further updated the CERAB results with a total of 130 patients showing that a primary patency of 82.0% was achieved at 3-year follow-up as compared with 90.2% for open surgery. 6 More recently, it was suggested that the use of a unibody stent-graft, designed for aneurysm treatment, could have several advantages for the treatment of aortoiliac occlusive disease over CERAB. It preserves the aortic bifurcation and thus allows for future cross-over endovascular interventions and avoids limb competition in the distal aorta.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic Comparison of Stent-Grafts for the Treatment of Aortoiliac Occlusive Disease

et al. 2021

View full text Add to dashboard Cite

Purpose: To compare the flow patterns and hemodynamics of the AFX stent-graft and the covered endovascular reconstruction of aortic bifurcation (CERAB) configuration using laser particle image velocimetry (PIV) experiments. Materials and Methods: Two anatomically realistic aortoiliac phantoms were constructed using polydimethylsiloxane polymer. An AFX stent-graft with a transparent cover made with a new method was inserted into one phantom. A CERAB configuration using Atrium’s Avanta V12 with transparent covers made with a previously established method was inserted into the other phantom, both modified stent-grafts were suitable for laser PIV, enabling visualization of the flow fields and quantification of time average wall shear stress (TAWSS), oscillatory shear index (OSI), and relative residence time (RRT). Results: Disturbed flow was observed at the bifurcation region of the AFX, especially at the end systolic velocity (ESV) time-point where recirculation was noticeable due to vortical flow. In contrast, predominantly unidirectional flow was observed at the CERAB bifurcation. These observations were confirmed by the quantified hemodynamic results from PIV analysis where mean TAWSS of 0.078 Pa (range: 0.009–0.242 Pa) was significantly lower in AFX as compared with 0.229 Pa (range: 0.013–0.906 Pa) for CERAB (p<0.001). Mean OSI of 0.318 (range: 0.123–0.496) in AFX was significantly higher than 0.252 (range: 0.055–0.472) in CERAB (p<0.001). Likewise, mean RRT of 180 Pa−1 (range: 9–3603 Pa−1) in AFX was also significantly higher than 88 Pa−1 (range: 2–840 Pa−1) in CERAB (p=0.0086). Conclusion: In this in vitro study, the flow pattern of a modified AFX stent-graft was found to be more disturbed especially at the end systolic phase, its hemodynamic outcomes less desirable than CERAB configuration. Clinical Relevance: While the AFX stent-graft has an advantage over the CERAB configuration in eliminating radial mismatch, and maintaining the anatomical bifurcation for future endovascular intervention, this in vitro study revealed that the associated lower TAWSS, higher OSI and RRT may predispose to thrombosis and are, thus, less desirable as compared to a CERAB configuration. Further investigation is warranted to confirm whether these findings translate into the clinical setting.

show abstract

Comparison of Midterm Outcomes between Surgical Treatment and Endovascular Reconstruction for Chronic Infrarenal Aortoiliac Occlusion

Cited by 20 publications

References 17 publications

Endovascular treatment of aortoiliac occlusive disease involving the aortic bifurcation: Case Report

Endovascular treatment of aortoiliac occlusive disease involving the aortic bifurcation: Case Report

Two-Year Primary Patency Rates After Aortoiliac Occlusive Disease Endovascular Treatment

Hemodynamic Comparison of Stent-Grafts for the Treatment of Aortoiliac Occlusive Disease

Contact Info

Product

Resources

About