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Outcomes of open operation for aortoiliac occlusive disease after failed endovascular therapy

Rachel C Danczyk1, Erica L Mitchell, Bryan D Petersen

  • 1Division of Vascular Surgery, Oregon Health & Science University, Portland, OR 97239, USA.

Archives of Surgery (Chicago, Ill. : 1960)
|September 19, 2012
PubMed

Insights

Patients undergoing secondary open surgery for failed endovascular therapy of aortoiliac occlusive disease (AIOD) had better survival than those with primary open operations. Limb salvage was achieved in all secondary surgery patients.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Research
  • Surgical Outcomes

Background:

  • Aortoiliac occlusive disease (AIOD) is a significant vascular condition.
  • Endovascular therapy (ET) is a common treatment for AIOD.
  • The outcomes of secondary open operations following failed ET are not well-established.

Purpose of the Study:

  • To compare patient outcomes of primary open operations for AIOD.
  • To compare patient outcomes of secondary open operations for failed ET of AIOD.

Main Methods:

  • Retrospective cohort study.
  • Analysis of demographic characteristics, comorbidities, and outcomes.
  • Inclusion of patients undergoing primary open operation for AIOD or secondary open operation for failed ET of AIOD.

Main Results:

  • Mean 5-year survival was 48.2% for primary open surgery vs. 66.8% for secondary open surgery (P = .01).
  • All 7 amputations occurred in the primary open surgery group.
  • Secondary open surgery patients did not require amputation.

Conclusions:

  • Secondary open surgery for failed AIOD ET offers better survival compared to primary open surgery.
  • Failed ET for AIOD does not negatively impact outcomes for subsequent open surgery.
  • Open surgery after failed ET ensures limb salvage.
Abstract

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