Endovascular grafting for aortoiliac occlusive disease

L. A. Sanchez, R. A. Wain, F. J. Veith, J. Cynamon, R. T. Lyon, T. Ohki

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Aortoiliac occlusive disease is a significant cause of lower extremity ischemic symptoms. Over the past two decades, most patients have been treated with a variety of surgical procedures, including aortofemoral and extra- anatomic bypasses. Most recently, percutaneous balloon angioplasty and stents have been successfully used for the treatment of limited lilac lesions. New endovascular grafts that combine vascular grafts with stents in a device with new characteristics may allow the successful treatment of patients with extensive aortoiliac occlusive disease in a less invasive fashion. In our early experience, the endovascular grafts were constructed with Palmaz balloon-expandable stents and standard polytetrafluoroethylene (PTFE) grafts. The 18-month primary and secondary patency rates were 89% and 100%, respectively, with a limb salvage rate of 94%. Endovascular grafts can be successfully used to treat patients with extensive aortoiliac occlusive disease, with excellent early results. Long-term results and further graft improvements will define their role in the treatment of patients with aortoiliac occlusive disease.

Original languageEnglish (US)
Pages (from-to)297-309
Number of pages13
JournalSeminars in Vascular Surgery
Volume10
Issue number4
StatePublished - Dec 1 1997

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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