Aorto-Uni-Iliac Stent Grafts with and without Crossover Femorofemoral Bypass for Treatment of Abdominal Aortic Aneurysms: A Parallel Observational Comparative Study

IF 2.5 Q2 PERIPHERAL VASCULAR DISEASE
M. Elkassaby, M. Alawy, M. Ali, W. Tawfick, S. Sultan
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引用次数: 5

Abstract

We investigated the safety and efficacy of primary aorto-uni-iliac (AUI) endovascular aortic repair (EVAR) without fem-fem crossover in patients with abdominal aortic aneurysm (AAA) and concomitant aortoiliac occlusive disease. 537 EVARs were implemented between 2002 and 2015 in University Hospital Galway, a tertiary referral center for aortic surgery and EVAR. We executed a parallel observational comparative study between 34 patients with AUI with femorofemoral crossover (group A) and six patients treated with AUI but without the crossover (group B). Group B patients presented with infrarenal AAAs with associated total occlusion of one iliac axis and high comorbidities. Technical success was 97% (n = 33) in group A and 85% (n = 5) in group B (P = 0.31). Primary and assisted clinical success at 24 months were 88% (n = 30) and 12% (n = 4), respectively, in group A, and 85% (n = 5) and 15% (n = 1), respectively, in group B (P = 0.125). Reintervention rate was 10% (n = 3) in group A and 0% in group B (P = 0.084). No incidence of postoperative critical lower limb ischemia or amputations occurred in the follow-up period. AUI without crossover bypass is a viable option in selected cases.
经股股交叉搭桥或不经股股交叉搭桥治疗腹主动脉瘤:平行观察比较研究
我们研究了腹主动脉瘤(AAA)合并主动脉-髂闭塞性疾病患者的原发性主动脉-单髂(AUI)血管内主动脉修复(EVAR)无fem-fem交叉的安全性和有效性。2002年至2015年间,537例EVAR在高威大学医院实施,该医院是主动脉手术和EVAR的三级转诊中心。我们对34例合并股股交叉的AUI患者(a组)和6例合并AUI但未合并交叉的患者(B组)进行了平行观察性比较研究。B组患者表现为伴一条髂轴全闭塞的肾下AAAs和高合并症。A组技术成功率为97% (n = 33), B组为85% (n = 5) (P = 0.31)。24个月时,A组的主要和辅助临床成功率分别为88% (n = 30)和12% (n = 4), B组分别为85% (n = 5)和15% (n = 1) (P = 0.125)。A组再干预率为10% (n = 3), B组为0% (P = 0.084)。随访期间未发生术后严重下肢缺血或截肢。在某些情况下,无交叉旁路的AUI是可行的选择。
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来源期刊
International Journal of Vascular Medicine
International Journal of Vascular Medicine PERIPHERAL VASCULAR DISEASE-
CiteScore
3.50
自引率
0.00%
发文量
7
审稿时长
16 weeks
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