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Related Experiment Video

Updated: Jun 19, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

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Conversion during laparoscopic aortobifemoral bypass: a failure?

I Fourneau1, I Mariën, Ph Remy

  • 1Department of Vascular Surgery, University Hospital Leuven, Leuven, Belgium. inge.fourneau@uzleuven.be

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|November 7, 2009
PubMed
Summary

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Conversion during laparoscopic aortobifemoral bypass for aorto-iliac occlusive disease (AIOD) is safe. While systemic morbidity increased in converted patients, overall outcomes were not negatively impacted, suggesting timely conversion aids learning.

Area of Science:

  • Vascular Surgery
  • Minimally Invasive Surgery

Background:

  • Aorto-iliac occlusive disease (AIOD) requires complex surgical intervention.
  • Laparoscopic aortobifemoral bypass offers a minimally invasive approach for AIOD treatment.
  • Conversion to open surgery during laparoscopic procedures can impact patient outcomes.

Purpose of the Study:

  • To evaluate the effect of conversion on postoperative recovery, morbidity, and mortality in laparoscopic aortobifemoral bypass for AIOD.
  • To compare outcomes between patients who underwent conversion and those who did not.

Main Methods:

  • Retrospective analysis of a prospectively maintained database.
  • Inclusion of 139 patients treated for severe AIOD between November 2002 and December 2006.
  • Analysis of demographic, operative, recovery, morbidity, and mortality data, stratified by conversion status.

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Main Results:

  • Conversion was necessary in 13.7% of patients.
  • Systemic morbidity was significantly higher in the conversion group (31.6%) compared to the non-conversion group (10%; p=0.002).
  • Local morbidity and overall recovery were comparable; mortality rate was 2.2%.

Conclusions:

  • Laparoscopic aortobifemoral bypass is a safe treatment for AIOD.
  • Conversion does not adversely affect patient outcomes and can be a safe strategy to manage challenges during the learning curve.
  • Timely conversion is a safe approach to overcome procedural difficulties.