RETROPERITONEAL ILIAC ARTERY ENDARTERECTOMY-A VIABLE ALTERNATIVE TO AORTOUNIFEMORAL BYPASS? IN POOR CARDIOPULMONARY PATIENTS.

Introduction: to study the outcome and efficacy of retroperitoneal iliac artery endarterectomyin poor cardiopulmonary function. Material and methods: this is a prospective study done in 15 patients with critical limb ischemia in the past two and half years (2015? 2017) who underwent extraperitoneal iliac artery endarterectomy with poor cardiopulmonary patients. Results: fifteen patients underwent extraperitoneal iliac artery endarterectomy in this study. Most of them were males(14/15 ? 93%) , with an average age of 63 years (age range 47?82 years). Cardiopulmonary comorbidities in form of ischemic heart disease ?were 73%(11/15) and chronic obstructive lung disease ? 27%(4/15). All patients were subjected to iliac artery endarterectomy followed by iliofemoral bypass in 73%(11/15) , patch plasty 20%(3/15) and primary closure 7%(1/15). Limb salvage in this study 85%(11/13) and patency 77%(10/13) during followup period of two years. Morality rate in this study 13.3%(2/15) . Conclusion: thus in selected group of aortoiliac occlusive disease patients with poor cardiopulmonary status retroperitoneal iliac endarterectomy remains one of the effective and safer procedures to consider.