Surgical treatment of unilateral iliac artery occlusive disease using a retroperitoneal approach
O Tetik1, B Emrecan, K Bayatli
1Atatürk Training and Research Hospital, Department of Cardiovascular Surgery, Izmir, Turkey.
Objective:
We evaluated the early and late postoperative outcome of aorto/iliofemoral bypass operations using a retroperitoneal approach.
Methods:
From December 1999 until the end of December 2005, unilateral aorto/iliofemoral bypass was performed on 23 patients (3 female, 20 male) for unilateral iliac occlusive disease. The average age was 57 years (range: from 45 to 68 years). Operative indications were claudication in seven patients, rest pain in 14 patients, and non-healing ulcer or gangrene in two patients.
Results:
Surgical procedures included aortofemoral bypass in ten patients, iliofemoral bypass in 12 patients and aortoiliac bypass in one patient. Simultaneous femoropopliteal bypass was performed on seven patients. Mean follow-up period was 2.5 +/- 0.31 years. Graft patency was 100% during this period.
Conclusions:
A retroperitoneal approach for unilateral iliac obstructive disease is a valuable and well-tolerated alternative to conventional aortobilateral reconstruction in unilateral symptomatic aorto-iliac disease with excellent long-term outcome.
