Long-term outcome of 121 iliofemoral endarterectomy procedures

Citation
Jm. Radoux et al., Long-term outcome of 121 iliofemoral endarterectomy procedures, ANN VASC S, 15(2), 2001, pp. 163-170
Citations number
31
Categorie Soggetti
Surgery
Journal title
ANNALS OF VASCULAR SURGERY
ISSN journal
08905096 → ACNP
Volume
15
Issue
2
Year of publication
2001
Pages
163 - 170
Database
ISI
SICI code
0890-5096(200103)15:2<163:LOO1IE>2.0.ZU;2-H
Abstract
Iliofemoral endarterectomy (EA) is now considered by most vascular surgeons to be an obsolete technique that is difficult and unreliable. The purpose of this retrospective study was to reassess the place of iliofemoral EA on the basis of long-term outcome in our experience. From 1982 to 1995, we per formed a total of 121 iliofemoral EA procedures on 98 patients with a mean age of 57 years. The anatomical presentation involved iliac occlusion in 55 cases and complex iliac stenosis in 63. The indication for treatment was c ritical ischemia in 28 cases. Operative mortality was nil. Major amputation was required in only one patient because of contralateral thrombosis durin g the procedure. Postoperative thrombosis requiring early thrombectomy occu rred in five cases. At 5 and 10 years, actuarial rates were 77.6% and 61.3% , respectively, for survival, 98.3% and 90.1%, respectively, for limb salva ge, 78.9% and 65.1%, respectively, for primary patency, and 88.2% and 73.8% , respectively, for secondary patency. On the basis of these findings, we c onsider iliofemoral EA to be a viable alternative to iliac bypass in patien ts ineligible for transluminal angioplasty.