Eversion endarterectomy for external iliac artery occlusive disease
C L Donohoe1, J F Dowdall, C O McDonnell
1Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
Vascular and Endovascular Surgery
|September 3, 2010
Summary
Eversion external iliac endarterectomy effectively treats iliofemoral occlusive disease, showing excellent short-term results and a low complication rate in patients with significant comorbidities.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Endovascular techniques have transformed iliac occlusive disease treatment.
- Long-segment iliac occlusions, especially with femoral disease, remain challenging.
- Iliac endarterectomy's role is debated amidst endovascular advancements.
Purpose of the Study:
- To evaluate the efficacy and outcomes of eversion endarterectomy for external iliac artery occlusive disease.
- To assess the procedure's safety and complication rates in a specific patient cohort.
Main Methods:
- Retrospective review of patients undergoing eversion external iliac endarterectomy.
- Data collected from a single institution between 2000 and 2008.
- Analysis of patient demographics, indications, adjunctive procedures, follow-up, and outcomes.
Main Results:
- Twenty-one patients (mean age 64.7 years, ASA grade 3) underwent the procedure.
- Indications included critical ischemia (16) and disabling claudication (5).
- No technical failures occurred; 81% primary patency at 1 year, with significant symptom improvement in 17 patients. Low short-term morbidity (no systemic morbidity within 30 days).
Conclusions:
- Eversion external iliac endarterectomy is a safe and effective treatment for iliofemoral occlusive disease.
- The procedure demonstrates excellent short-term outcomes and a low complication rate.
- It is a viable option for patients with high comorbidity levels.
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