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Outcome of ilio-popliteal grafting for peripheral arterial disease

Iain J D McCallum1, Ahmad Al Samaraee, James E McCaslin

  • 1Department of Vascular Surgery, Queen Elizabeth Hospital, Sheriff Hill, Gateshead, United Kingdom.

Angiology
|August 20, 2009
PubMed

Insights

Iliopopliteal grafts for severe ilio-femoral disease show low primary patency and high mortality. Use of these grafts is only recommended in exceptional cases due to limited success.

Area of Science:

  • Vascular Surgery
  • Atherosclerosis Research
  • Reconstructive Surgery

Background:

  • Complex ilio-femoral atherosclerotic disease presents significant treatment challenges.
  • Iliopopliteal grafting is a potential, though infrequently used, revascularization strategy.

Purpose of the Study:

  • To evaluate the outcomes of iliopopliteal grafts in patients with complex ilio-femoral atherosclerotic disease.
  • To assess graft patency, limb survival, and the need for reintervention.

Main Methods:

  • Retrospective analysis of patients who underwent iliopopliteal grafting between 1998 and 2007.
  • Data extracted from patient records and radiological imaging.

Main Results:

  • Nineteen iliopopliteal grafts were performed in 19 patients.
  • Primary and secondary graft patency rates at one year were 45% and 82.5%, respectively.
  • Limb survival at one year was 88%, with 73% at four years, despite numerous interventions.

Conclusions:

  • Iliopopliteal grafts are rarely performed, indicating infrequent encounters with suitable disease severity.
  • High mortality and low primary patency rates suggest limited efficacy.
  • The use of iliopopliteal grafts should be reserved for highly selected, exceptional circumstances.
Abstract

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