18Jul 2018

OUTCOME ANALYSIS FOLLOWING ILIAC ENDARTERECTOMY IN PATIENTS WITH UNILATERAL ILIAC OCCLUSION.

  • Professor, Institute of Vascular Surgery, MMC, RGGGH, Chennai-03.
  • Assistant Professor, Institute of Vascular Surgery, MMC, RGGGH, Chennai-03.
  • Senior Resident, Institute of Vascular Surgery, MMC, RGGGH, Chennai-03.
  • Assistant Professor, Institute of Vascular Surgery, MMC, RGGGH, Chennai-03.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Objective: Aim of this study is to evaluate the outcomes following unilateral iliac revascularization by iliac endarterectomy in patients with TASC C and TASC D Aorto-iliac lesion, with respect to patency and limb salvage. Method Of Study: Prospective study. Results: A total of 26 patients underwent unilateral iliac intervention during the period from August 2016 to January 2017. Mean age at presentation was 68 years(range 45-78). Primary graft patency rate was 92% at end of 1 year. Limb salvaged rate was 100%. No early graft failure was seen. Late graft failure was seen in one patient. Conclusion: Unilateral iliac revascularization is a viable option in patients with TASC C and D Aorto- iliac lesions, not amenable to endovascular therapy and severe comorbidities.


  1. Adam van der Vliet, et al. Unilateral vascular reconstruction for iliac obstructive disease. J Vasc SURG 1994;19:610-4.
  2. Ricco et al.Long-term results of a multicenter randomized study on direct versus crossover bypass for unilateral iliac artery occlusive disease. J VascSurg 2008;47:45-54.
  3. Cham et al. EXTRAPERITONEAL UNILATERAL ILIAC ARTERY BYPASS FOR CHRONIC LOWER LIMB ISCHAEMIA. Aust. N.Z. J. Surg. 1988,58, 859-863
  4. Kretschmer et al. Extra-anatomic Femoro-femoral Crossover Bypass (FF) vs. Unilateral OrthotopicIlio-femoral Bypass (IF): An Attempt to Compare Results based on Data Matching. Eur J VascSurg 5, 75-82 (1991)
  5. Nazzal et al. A Comparative Evaluation of Femorofemoral Crossover Bypass andIliofemoral Bypass for Unilateral Iliac Artery Occlusive Disease. Angiology. The journal of vascular diseases April 1998.
  6. Harrington et al. Iliofemoral case for an versus femorofemoral bypass: The individualized approach. JVASC SURG 1992;16:841-54.
  7. Kalman et al. Unilateral iliac disease: The role of iliofemoral bypass. (J VASC SURG 1987;6:139-43.
  8. Sidawy et al. Retroperitoneal Inflow procedures for IliacOcclusiveVascular Disease. Arch Surg. Vol.120. July 1985.

[N. Sritharan, MS., MCh., I. Devarajan, MS, MCh., S.Jeyakumar M.S.MCh, M. Sridhar and Jayanth V Kumar, MS, MCh. (2018); OUTCOME ANALYSIS FOLLOWING ILIAC ENDARTERECTOMY IN PATIENTS WITH UNILATERAL ILIAC OCCLUSION. Int. J. of Adv. Res. 6 (Jul). 533-536] (ISSN 2320-5407). www.journalijar.com


Dr.I.Devarajan
Assistant Professor, Institute of Vascular Surgery, MMC, RGGGH, Chennai-03

DOI:


Article DOI: 10.21474/IJAR01/7394      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7394