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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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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
PubMed
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.

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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.