Outcomes of Open Operation for Aortoiliac Occlusive Disease After Failed Endovascular Therapy

Abstract

To compare patient outcomes of primary open operation for aortoiliac occlusive disease (AIOD) with those of secondary open operations for failed endovascular therapy (ET) of AIOD. Design: A retrospective cohort study was performed analyzing demographic characteristics, comorbidities, and outcomes.

Is Peripheral Artery Disease an Independent Predictor of Isolated Coronary Artery Bypass Outcome?

“…Nonetheless, we believe that selective ITA territory angiography is advisable in PAD and in the absence of femoral pulse, ITA harvesting should be avoided. In contrast with aortic and renal atherosclerotic involvement, prophylactic lower extremity revascularisations in patients with PAD concomitant with CABG are not justified [42].…”

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

“…Danczyk et al reported a better survival in patients undergoing redo AbF bypass grafting compared with those undergoing primary operation despite a higher percentage of cardiac risk factors. 24 The reason that a much more invasive operation has better clinical outcomes lies in the fact that redo patients, at that time, were on a better medical regimen; this may underline the importance on outcomes during primary operation, and it could be a coexplanation of the literature and personal results. Last but not least, it confirms that in contrast to infrainguinal distal revascularization, endovascular-first treatment does not preclude an effective open rescue; this is also supported by the findings of Patel et al, who demonstrated that endovascular surgery has not appreciably increased the complexity of open aortic operations performed for AIOD.…”

S3-Leitlinie PAVK - Diagnostik, Therapie und Nachsorge der peripheren arteriellen Verschlusskrankheit

“…Nach erfolgloser Angioplastie sollen die chirurgischen Ergebnisse wesentlich schlechter sein als nach primärer Bypassanlage (256). Dies konnte für aortoilicale (266) und distal-origin Bypasses bei CLI nach erfolgloser femoropoplitealer Angioplastie (429) aber nicht bestätigt werden. Andere Autoren beschreiben für die Erstanlage eines Bypasses signifikant bessere Ergebnisse als für die Bypasschirurgie sowohl nach vorheriger infrainguinaler Angioplastie als auch nach einer vorhergehenden Bypassanlage (430).…”