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Related Experiment Videos

Changing patterns in aortoiliac reconstruction: a 7-year audit

M S Whiteley1, S B Ray-Chaudhuri, R B Galland

  • 1Department of Surgery, Royal Berkshire Hospital, Reading, UK.

The British Journal of Surgery
|October 1, 1996
PubMed
Summary

Vascular surgery trends show a significant decline in aortobifemoral grafts, replaced by extra-anatomic bypasses and increased percutaneous angioplasties for occlusive disease.

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Area of Science:

  • Vascular Surgery
  • Surgical Outcomes
  • Interventional Cardiology

Background:

  • Vascular reconstructions increased significantly between 1988 and 1994.
  • Aortobifemoral grafts for occlusive disease saw a marked decrease in utilization.

Purpose of the Study:

  • To analyze trends in vascular reconstruction procedures.
  • To investigate the shift from aortobifemoral to extra-anatomic grafts.
  • To assess the impact of percutaneous angioplasty on surgical interventions.

Main Methods:

  • Prospective vascular audit conducted from 1988 to 1994.
  • Analysis of graft sales data from two major vascular graft companies.
  • Comparison of surgical procedure rates over a six-year period.

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Main Results:

  • Aortobifemoral grafts decreased from 18% to 0.7% of operations.
  • Extra-anatomic grafts increased from 3% to 20.6%.
  • Percutaneous angioplasties for iliac lesions tripled, with a notable rise in stent procedures.

Conclusions:

  • A national trend away from aortobifemoral grafting is evident.
  • Increased use of extra-anatomic bypasses and percutaneous interventions characterizes modern vascular surgery.
  • Percutaneous angioplasty may facilitate the shift towards extra-anatomic reconstructions.