Extra-anatomic arterial reconstruction with ligation of common iliac arteries and embolization of the aneurysm for the treatment of abdominal aortic aneurysms in high-risk patients

Huber, K.; Joseph, Abraham; Mukherjee, Dipankar

doi:10.1067/mva.2001.112319

Cited by 12 publications

(8 citation statements)

References 15 publications

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“…In exclusion of The survival rate is 66.7% at three years and 41.7% at five years abdominal aortic aneurysms, Resnikoff reported that 14 (1.7%) of 831 patients required surgical intervention [11]. Huber described that complete thrombosis of abdominal aortic aneurysm, which was not accomplished without exclusion, prevented future rupture [12]. We think that complete thrombosis by exclusion minimizes the risk of rupture of IIAA in the long-term period.…”

Section: Discussionmentioning

confidence: 97%

Exclusion of internal iliac artery aneurysm in high-risk patients

Deguchi¹,

Furuya²,

Tanaka³

et al. 2002

Int J Angiol

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Section: Discussionmentioning

confidence: 97%

Exclusion of internal iliac artery aneurysm in high-risk patients

Deguchi¹,

Furuya²,

Tanaka³

et al. 2002

Int J Angiol

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“…Extra-anatomic bypass grafts such as axillofemoral and subclavio-femoral femoro-femoral can be applied in the patients having the infected aortic grafts, in the patients undergoing colostomy and ileostomy after the previous laparotomy, having acute myocardial infarction, severe congestive heart failure, severe chronic renal disease or renal failure requiring hemodialysis, malignancy, resting dyspnea, patients with chronic obstructive pulmonary disease (COPD) [8,9]. Axillo-femoral bypass grafting may be preferred instead of femoro-femoral bypass in patients with operation-related graft infections [10].…”

Section: Discussionmentioning

confidence: 99%

“…Axillofemoral bypass was applied to patients with an ankle-brachial index greater than one. Femoro-femoral (FF) bypass can be preferred in cases where anatomic bypass cannot be performed due to an extremely plaque with unilateral iliofemoral obstruction and is also at high risk, and if the contralateral femoral artery flow is angiographic and hemodynamically sufficient [9,10]. It has been reported that the 5-year patency rate is significantly reduced if there is an obstruction in the superficial femoral artery [11].…”

Section: Discussionmentioning

confidence: 99%

Single-Center Experience on Extra-Anatomic Arterial Revascularisation Applications

Kaya¹

2021

J CLIN EXP INVEST

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Objective: Atherosclerosis and thrombotic disorders disrupts distal limb perfusion and threatens organ viability. The distal flow should be provided with interventional or surgical procedures. However, it is not possible every time due to the loss of normal anatomical conditions. Extra-anatomic ways can be used for providing distal blood supply in such these conditions. In current study we aimed to present our extra-anatomic bypass applications in cases who has not chance for anatomical revascularization.Method: Extra-anatomic bypass intervention was applied to medical cases in our clinic between 2010 and 2018. Age, sex and accompanying diseases were recorded retrospectively. The polytetrafluoroethylene (PTFE) or otogenous saphenous vein graft was used for extraanatomic revascularization.Results: Nine (75%) of the patients were male and 3 of them (25%) were female. The mean age of the patients was 56.08 years. Lower extremity revascularization was performed in all cases. For the lower extremity, a femoro-femoral bypass in eight cases, an axillo-femoral bypass in two cases, and femoro-infrapopliteal bypass 18 in two cases were performed respectively. Two (18%) complications were encountered in the immediate postoperative period. Late-period mortality was not observed during the follow-up period. In terms of lateperiod morbidity (6 months after surgery), graft thrombosis was observed in one case. Conclusion:Although the increase in the number of endovascular interventions in recent years restricts surgical intervention, extra-anatomic bypass procedures should be considered as an alternative surgical approach in cases with co-morbidity factors such as previous vascular bypass surgery, diabetes, and obesity etc.

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“…6 In this series, occlusion was achieved in 12 of 15 patients, with the three failures requiring intravascular occlusion using bucrylate. Numerous case series have been published, [5][6][7][8][9][10][11][12][13][14] ranging from 4 to 60 patients, on outcomes of extra-anatomic bypass, followed by aortic occlusion. All patients had contraindications to open aortic aneurysmorrhaphy.…”

Section: Discussionmentioning

confidence: 99%

A unique technique for intentional occlusion of an abdominal aortic aneurysm

Garg

Berland

Veith

et al. 2014

Journal of Vascular Surgery

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We report the case of a 78-year-old man with coronary artery disease, chronic obstructive pulmonary disease, and chronic renal insufficiency with an enlarging 6.7-cm infrarenal abdominal aortic aneurysm. He also had a 4-cm right common iliac artery aneurysm, and right external iliac artery occlusion. The patient had a history of an axillobifemoral bypass graft placed 10 years prior for aortoiliac occlusive disease. We describe the use of an infrarenal aorto-uni-iliac graft and subsequent intentional graft occlusion as an endovascular solution to treat aneurysmal disease in this sick patient. He remains asymptomatic after surgery, with demonstrated occlusion of his aneurysms.

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Extra-anatomic arterial reconstruction with ligation of common iliac arteries and embolization of the aneurysm for the treatment of abdominal aortic aneurysms in high-risk patients

Cited by 12 publications

References 15 publications

Exclusion of internal iliac artery aneurysm in high-risk patients

Exclusion of internal iliac artery aneurysm in high-risk patients

Single-Center Experience on Extra-Anatomic Arterial Revascularisation Applications

A unique technique for intentional occlusion of an abdominal aortic aneurysm

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