RESULTS OF PERIPHERAL ENDOVASCULAR PROCEDURES IN THE OPERATING-ROOM

Purpose: This study presents the results-of closed (percutaneous) and open endovascular procedures performed exclusively by vascular surgeon s in the operating room and compares them with results from combined s eries from the literature, including primarily closed procedures in ra diology or cardiology facilities. Methods: Retrospective review of 607 consecutive peripheral arterial and venous angioplasties, stents, thr ombolytic cases, and inferior vena caval filters in 446 ptients was an alyzed for immediate success rate, complication rate, and 1-year life table patency rate; Results: The incidence of initial technical succes s was: aorta, 89%; iliac artery, 91%; superficial femoral artery, 90%; popliteal artery, 91%; tibial arteries, 79%; arm arteries and veins, 86%; renal arteries, 100%; IVC filters, 98%; and iliofemoral veins, 10 0%. The 1-year primary patency rates, including technical failures, we re 70.3% in 113 femoropopliteal procedures and 83.7% in 194 iliac arte ries. Advantages to the use of the operating room included: (1) simult aneous angioplasty during a bypass operation for abnormalities proxima l or distal to the graft, (2) correction of lesions first discovered d uring thrombectomy, and (3) optimum patient monitoring and sedation in the operating room. Conclusions: Endovascular procedures performed by vascular surgeons in the operating room lead to results comparable wi th procedures performed in nonsurgical interventional suites, and the use of the operating room has advantages.