Open Surgical Management of Atherosclerotic Aortoiliac Occlusive Diseases (AIOD) Type 1
Keywords:
aortoiliac occlusive diseases, aortoiliac endarterectomy, aortofemoral bypassAbstract
Objective: The common techniques for open anatomical revascularization of aortoiliac occlusive diseases(AIOD) type 1 are aortofemoral bypass (AFB) and aortoiliac endarterectomy (AIE). These procedures are suitable for
hospital where endovascular facility is not available. The aims of this study were to review and compare morbidity,
mortality and 3-year patency rate of AFB and AIE at the Lampang Regional Hospital.
Methods: Patients with AIOD who underwent AFB or AIE for lower extremity ischemia were identified from
prospective medical records during November 2007-November 2013. Demographic and clinical data including
outcome data were obtained from clinical summary records. The decision to perform which operation was based on
surgical risk and surgeon’s preference. Kaplan-Meier analysis was performed to examine the survival of patients.
Results: A total of 10 patients underwent 5 AFB and 5 AIE. The 30-day mortality rate was 10%. One-year survival
rate was 75%. One-year graft patency rate was 100%. Late complication occurred in two patients including worsening
of congestive heart failure and another case with empyema thoracis after treatment HAP. The overall 3-year survival
rate of both AIE and AFB were 40%.
Conclusions: AIE has provided the advantage of avoiding prosthesis. This technique is safe and equally effective
as AFB in term of patency and survival.
References
1. Szilagyi DE, Elliott JP Jr, Smith RF, Reddy DJ, Mcpharlin M. A
thirty-year survey of the reconstructive surgical treatment of
aortoiliac occlusive diseases. J Vasc Surg 1986;3:421-36.
2. Leriche R, Morel A. The syndrome of thrombotic obliteration of
the aortic bifurcation. Ann Surg 1948;127:193-206.
3. Brewster DC: Clinical and anatomic considerations for surgery
in aortic disease and results of surgical treatment. Circulation
1991;83 (Suppl l):142-152.
4. Nevelsteen A, Suy R, Daenen W, Boel A, Stalpaert G.
Aortofemoral grafting: factors influencing late results. Surgery
1980;88:642-53.
5. Perdue GD, Long WD, Smith RB III. Perspective concerning
aortofemoral arterial reconstruction. Ann Surg 1971;173:940-
4.
6. Malone JM, Moore WS, Goldstone J. The natural history of
bilateral aortofemoral bypass grafts for ischemia of the lower
extremities. Arch Surg 1975;110:1300-6.
7. Brewster DC, Darling RC. Optimal methods of aortoiliac
reconstruction. Surg 1978;84:739 -47.
8. Mulcare RJ, Royster TS, Lynn RA, Conners RB. Long-term results
of operative therapy for aortoiiac diseases. Arch Surg
1978;113:601-4.
9. Rutherford RB. Options in the surgical management of aortoiliac
occlusive disease: a changing perspective. Cardiovasc
Surg 1999;7:5-12.
10. Akker PJ van der, van Schilfgaarde R, Brand R, van Bockel JH,
Terpstra JL. Long term success of aortoiliac operation for
arteriosclerotic obstructive disease. Surg Gynecol Obstet
1992;174:485-96.
11. Crawford ES, Bomberger RA, Gleaser DH, Saleh SA, Russel WL.
Aortoiliac occlusive disease: factors influencing survival and
function following reconstructive operation over a 25 year
period. Surg 1981;90:1055-67.
12. Hertzer NR, Beven EG, Young JR, O,Hara PJ, Ruschhaupt WF
3rd, Graor RA, et al. Coronary artery disease in peripheral
vascular patients: a classification of 1000 coronary angiograms
and results of surgical management. Ann Surg 1984;199:223 -
33
thirty-year survey of the reconstructive surgical treatment of
aortoiliac occlusive diseases. J Vasc Surg 1986;3:421-36.
2. Leriche R, Morel A. The syndrome of thrombotic obliteration of
the aortic bifurcation. Ann Surg 1948;127:193-206.
3. Brewster DC: Clinical and anatomic considerations for surgery
in aortic disease and results of surgical treatment. Circulation
1991;83 (Suppl l):142-152.
4. Nevelsteen A, Suy R, Daenen W, Boel A, Stalpaert G.
Aortofemoral grafting: factors influencing late results. Surgery
1980;88:642-53.
5. Perdue GD, Long WD, Smith RB III. Perspective concerning
aortofemoral arterial reconstruction. Ann Surg 1971;173:940-
4.
6. Malone JM, Moore WS, Goldstone J. The natural history of
bilateral aortofemoral bypass grafts for ischemia of the lower
extremities. Arch Surg 1975;110:1300-6.
7. Brewster DC, Darling RC. Optimal methods of aortoiliac
reconstruction. Surg 1978;84:739 -47.
8. Mulcare RJ, Royster TS, Lynn RA, Conners RB. Long-term results
of operative therapy for aortoiiac diseases. Arch Surg
1978;113:601-4.
9. Rutherford RB. Options in the surgical management of aortoiliac
occlusive disease: a changing perspective. Cardiovasc
Surg 1999;7:5-12.
10. Akker PJ van der, van Schilfgaarde R, Brand R, van Bockel JH,
Terpstra JL. Long term success of aortoiliac operation for
arteriosclerotic obstructive disease. Surg Gynecol Obstet
1992;174:485-96.
11. Crawford ES, Bomberger RA, Gleaser DH, Saleh SA, Russel WL.
Aortoiliac occlusive disease: factors influencing survival and
function following reconstructive operation over a 25 year
period. Surg 1981;90:1055-67.
12. Hertzer NR, Beven EG, Young JR, O,Hara PJ, Ruschhaupt WF
3rd, Graor RA, et al. Coronary artery disease in peripheral
vascular patients: a classification of 1000 coronary angiograms
and results of surgical management. Ann Surg 1984;199:223 -
33
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Published
2014-12-29
How to Cite
1.
Chantip A. Open Surgical Management of Atherosclerotic Aortoiliac Occlusive Diseases (AIOD) Type 1. Thai J Surg [Internet]. 2014 Dec. 29 [cited 2024 Apr. 29];35(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226606
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