Abstract
Treatment of aortoiliac occlusive disease has evolved over the past 10 years. Endovascular intervention is becoming more popular than aortobifemoral bypass, even for total aortoiliac artery occlusions. Endovascular angioplasty and stenting is now the first line of therapy in many if not all hospitals depending on the extent of the atherosclerotic disease as well as the experience of the interventionalists. This popularity is due to high technical success, early return to activity, and short hospital stay. Aortobifemoral bypass has excellent long-term patency. This procedure is being performed less due to the increase in either total endovascular intervention or hybrid procedures. Typically, these hybrid procedures involved open femoral reconstruction with retrograde iliac stenting. These procedures will be discussed in detail in this chapter.
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References
Leriche R, Morel A. The syndrome of thrombotic obliteration of the aortic bifurcation. Ann Surg. 1948;127:193–206.
Dietzek AM, Goldsmith J, Veith FJ, et al. Interruption of critical aortoiliac collateral circulation during nonvascular operations: a cause of acute limb-threatening ischemia. J Vasc Surg. 1990;12:645–51.
McGrath MA, Graham AR, Hill DA, et al. The natural history of chronic leg ischemia. World J Surg. 1983;7:314–8.
Violi F, Criqui M, Longoni A, et al. Relation between risk factors and cardiovascular complications in patients with peripheral vascular disease. Results from the A.D.E.P. study. Atherosclerosis. 1996;120:25–35.
Bui BT, Miller S, Mildenberger P, et al. Comparison of contrast-enhanced MR angiography to intraarterial digital subtraction angiography for evaluation of peripheral arterial occlusive disease: results of a phase III multicenter trial. J Magn Reson Imaging. 2010;31:1402–10.
Kreitner KF, Kalden P, Neufang A, et al. Diabetes and peripheral arterial occlusive disease: prospective comparison of contrast-enhanced three-dimensional MR angiography with conventional digital subtraction angiography. AJR Am J Roentgenol. 2000;174:171–9.
Heijenbrok-Kal MH, Kock MC, Hunink MG. Lower extremity arterial disease: multicenter CT angiography meta-analysis. Radiology. 2007;245:433–9.
Buckley CJ, Arko FR, Lee S. Intravascular scanning improves long-term patency of iliac lesions treated with balloon angioplasty and primary stenting. J Vasc Surg. 2002;35:316–23.
Norgern L, Hiatt WR, Dormandy JA, et al. Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg. 2007;45:S5–67.
Bosch JL, Hunink MG. Meta-analysis of the results of percutaneous transluminal angioplasty and stent placement for aortoiliac occlusive disease. Radiology. 1997;204:87–96.
Tetteroo E, Van der Graaf Y, Bosch JL, et al. Randomised comparison of primary stent placement versus primary angioplasty followed by selective stent placement in patients with iliac-artery occlusive disease. Dutch Iliac Stent Trial Study Group. Lancet. 1998;351:1153–9.
Klein WM, Van der Graaf Y, Seegers J, et al. Long-term cardiovascular morbidity, mortality, and reintervention after endovascular treatment in patients with iliac artery disease: the Dutch Iliac Stent Trial Study. Radiology. 2004;232:491–8.
Leville CD, Kashyap VS, Clair DG, et al. Endovascular management of iliac artery occlusions: extending treatment to TransAtlantic Inter-Society Consensus class C and D patients. J Vasc Surg. 2006;43:32–9.
Rzucidlo EM, Powell RJ, Zwolak RM, et al. Early results of stent-grafting to treat diffuse aortoiliac occlusive disease. J Vasc Surg. 2003;37:1175–80.
Sabri SS, Choudhri A, Orgera G, et al. Outcomes of covered kissing stent placement compared with bare metal stent placement in the treatment of atherosclerotic occlusive disease at the aortic bifurcation. J Vasc Interv Radiol. 2010;21:995–1003.
Schurmann K, Vorwerk D, Uppenkamp R, et al. Iliac arteries: plain and heparin-coated Dacron-covered stent- grafts compared with noncovered metal stents – an experimental study. Radiology. 1997;203:55–63.
Hinchliffe RJ, Ivancev K, Sonesson B, et al. “Paving and cracking”: an endovascular technique to facilitate the introduction of aortic stent-grafts through stenosed iliac arteries. J Endovasc Ther. 2007;14:630–3.
Ali AT, Modrall JG, Lopez J, et al. Emerging role of endovascular grafts in complex aortoiliac occlusive disease. J Vasc Surg. 2003;38:486–91.
Lammer J, Dake MD, Bleyn J, et al. Peripheral arterial obstruction: prospective study of treatment with a transluminally placed self-expanding stent-graft. International Trial Study Group. Radiology. 2000;217:95–104.
Wiesinger B, Beregi JP, Oliva VL, et al. PTFE-covered self-expanding nitinol stents for the treatment of severe iliac and femoral artery stenoses and occlusions: final results from a prospective study. J Endovasc Ther. 2005;12:240–6.
Maynar M, Zander T, Qian Z, et al. Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. J Endovasc Ther. 2005;12:22–7.
Chang RW, Goodney PP, Baek JH, et al. Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease. J Vasc Surg. 2008;48:362–7.
Dosluoglu HH, Lall P, Cherr GS, et al. Role of simple and complex hybrid revascularization procedures for symptomatic lower extremity occlusive disease. J Vasc Surg. 2010;51:1425–35.
Nelson PR, Powell RJ, Schermerhorn ML, et al. Early results of external iliac artery stenting combined with common femoral artery endarterectomy. J Vasc Surg. 2002;35:1107–13.
Nishibe T, Kondo Y, Dardik A, et al. Hybrid surgical and endovascular therapy in multifocal peripheral TASC D lesions: up to three-year follow-up. J Cardiovasc Surg (Torino). 2009;50:493–9.
Burke CR, Henke PK, Hernandez R, et al. A contemporary comparison of aortofemoral bypass and aortoiliac stenting in the treatment of aortoiliac occlusive disease. Ann Vasc Surg. 2010;24:4–13.
Sharafuddin MJ, Hoballah JJ, Kresowik TF, et al. Long-term outcomes following stent reconstruction of the aortic bifurcation and the role of geometric determinants. Ann Vasc Surg. 2008;22:346–57.
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© 2012 Springer-Verlag London
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Pisimisis, G., Bechara, C.F. (2012). Aortoiliac Occlusive Disease. In: Hoballah, J., Lumsden, A. (eds) Vascular Surgery. New Techniques in Surgery Series, vol 6. Springer, London. https://doi.org/10.1007/978-1-4471-2912-7_15
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DOI: https://doi.org/10.1007/978-1-4471-2912-7_15
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