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- Title
Combined Direct Repair and Inline Inflow Stenting in the Management of Aortoiliac Disease Extending Into the Common Femoral Artery.
- Authors
Sharafuddin, Melhem J.; Kresowik, Timothy F.; Hoballah, Jamal J.; Nicholson, Rachael M.; Sharp, William J.
- Abstract
Purpose: Describe a hybrid approach to simplify management of complex aortoiliac occlusive disease (AIOD) extending into the common femoral artery (CFA). Methods: Retrospective review of 56 patients who underwent hybrid management of AIOD extending into CFA between January 2003 and February 2007. Two distinct hybrid approaches were compared: Inline (iliac stenting continuous with an open CFA reconstruction, 38 limbs in 37 patients) and tandem (noncontiguous stenting of an upstream iliac segment, 20 limbs in 19 patients). The median follow-up duration was 15 ± 12 months in the inline group and 24 ± 12 months in the tandem group. Results: Technical success was achieved in all but 1 procedure. Clinical and hemodynamic responses to the interventions and limb loss rates were comparable in both groups. Survival table analysis showed no significant difference between inline and tandem reconstructions. Conclusions: Inline stenting represents a lesser invasive revascularization choice in complex AIOD with contiguous involvement of the CFA.
- Subjects
FEMORAL artery; ARTERIAL occlusions; ARTERIAL surgery; ANALYSIS of variance; CHI-squared test; COMPUTER software; LONGITUDINAL method; MULTIVARIATE analysis; HEALTH outcome assessment; SURGICAL stents; OPERATIVE surgery; T-test (Statistics); U-statistics; LOGISTIC regression analysis; DATA analysis; TREATMENT effectiveness; RETROSPECTIVE studies; SURGERY
- Publication
Vascular & Endovascular Surgery, 2011, Vol 45, Issue 3, p274
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574410395037