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Article: Intraoperative endovascular angioplasty and stenting of iliac artery: An adjunct to femoro-popliteal bypass

TitleIntraoperative endovascular angioplasty and stenting of iliac artery: An adjunct to femoro-popliteal bypass
Authors
Issue Date1998
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamcollsurg
Citation
Journal Of The American College Of Surgeons, 1998, v. 186 n. 4, p. 408-415 How to Cite?
AbstractBackground: With the rapid development of endovascular techniques, the management strategy of patients with multilevel atherosclerotic arterial occlusive disease is also evolving. Iliac artery stenting is a means whereby multiple bypass operations can be avoided in such patents. The early results of preoperative iliac artery stenting seem promising but the role of intraoperative lilac artery angioplasty and stenting is less dear. Study Design: This study was undertaken to evaluate our early results of a combined endovascular and operative approach to patents with multilevel atherosclerotic arterial occlusive disease. Between June 1995 and March 1997, primary intraoperative iliac artery balloon angioplasty and stent placement were performed on 13 affected limbs of 12 patients undergoing an infrainguinal bypass operation. Indications for operation, patient demographics, and risk factors were noted. The outcome of surgery and the patency rates of bypass graft and stent were also recorded. Results: The initial technical success of primary lilac artery angioplasty and stenting was 93%. An improvement of the ankle-brachial index by a mean value of 0.38 was attained after operation (p < 0.001). Clinical success, based on the criteria suggested by the Society for Vascular Surgery/International Society for Cardiovascular Surgery, was achieved in all patients. There was no operative or hospital mortality. Postoperative morbidity rate was 8% (n = 1). The cumulative 1-year patency rates of iliac stent and infra-inguinal bypass grafts were 100% and 85%, respectively. The limb loss rate was 7%. Contusions: The technique of intraoperative angioplasty and stenting can be easily mastered by an experienced and skilled vascular surgeon, using a portable C-arm fluoroscopic unit, in the operation theater. A combined endovascular and operative approach optimizes the therapeutic option to this selected group of patients.
Persistent Identifierhttp://hdl.handle.net/10722/172742
ISSN
2015 Impact Factor: 4.257
2015 SCImago Journal Rankings: 2.604
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_US
dc.contributor.authorCheng, SWKen_US
dc.date.accessioned2012-10-30T06:24:37Z-
dc.date.available2012-10-30T06:24:37Z-
dc.date.issued1998en_US
dc.identifier.citationJournal Of The American College Of Surgeons, 1998, v. 186 n. 4, p. 408-415en_US
dc.identifier.issn1072-7515en_US
dc.identifier.urihttp://hdl.handle.net/10722/172742-
dc.description.abstractBackground: With the rapid development of endovascular techniques, the management strategy of patients with multilevel atherosclerotic arterial occlusive disease is also evolving. Iliac artery stenting is a means whereby multiple bypass operations can be avoided in such patents. The early results of preoperative iliac artery stenting seem promising but the role of intraoperative lilac artery angioplasty and stenting is less dear. Study Design: This study was undertaken to evaluate our early results of a combined endovascular and operative approach to patents with multilevel atherosclerotic arterial occlusive disease. Between June 1995 and March 1997, primary intraoperative iliac artery balloon angioplasty and stent placement were performed on 13 affected limbs of 12 patients undergoing an infrainguinal bypass operation. Indications for operation, patient demographics, and risk factors were noted. The outcome of surgery and the patency rates of bypass graft and stent were also recorded. Results: The initial technical success of primary lilac artery angioplasty and stenting was 93%. An improvement of the ankle-brachial index by a mean value of 0.38 was attained after operation (p < 0.001). Clinical success, based on the criteria suggested by the Society for Vascular Surgery/International Society for Cardiovascular Surgery, was achieved in all patients. There was no operative or hospital mortality. Postoperative morbidity rate was 8% (n = 1). The cumulative 1-year patency rates of iliac stent and infra-inguinal bypass grafts were 100% and 85%, respectively. The limb loss rate was 7%. Contusions: The technique of intraoperative angioplasty and stenting can be easily mastered by an experienced and skilled vascular surgeon, using a portable C-arm fluoroscopic unit, in the operation theater. A combined endovascular and operative approach optimizes the therapeutic option to this selected group of patients.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamcollsurgen_US
dc.relation.ispartofJournal of the American College of Surgeonsen_US
dc.rightsJournal of the American College of Surgeons. Copyright © Elsevier Inc.-
dc.subject.meshAgeden_US
dc.subject.meshAngioplasty, Balloonen_US
dc.subject.meshArteriosclerosis - Therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFemoral Artery - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshIliac Arteryen_US
dc.subject.meshIntraoperative Perioden_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPopliteal Artery - Surgeryen_US
dc.subject.meshStentsen_US
dc.subject.meshVascular Surgical Procedures - Methodsen_US
dc.titleIntraoperative endovascular angioplasty and stenting of iliac artery: An adjunct to femoro-popliteal bypassen_US
dc.typeArticleen_US
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_US
dc.identifier.authorityCheng, SWK=rp00374en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S1072-7515(98)00059-3en_US
dc.identifier.pmid9544954-
dc.identifier.scopuseid_2-s2.0-0031892582en_US
dc.identifier.hkuros31657-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031892582&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume186en_US
dc.identifier.issue4en_US
dc.identifier.spage408en_US
dc.identifier.epage415en_US
dc.identifier.isiWOS:000072931700007-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, H=7201497812en_US
dc.identifier.scopusauthoridCheng, SWK=7404684779en_US

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