J.Jpn. Surg. Soc.. 83(11): 1344-1352, 1982
Original article
SURGICAL TREATMENT OF AORTO-ILIAC ARTERIAL OCCLUSIVE DISEASE
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The Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School Hiroshi Inada, et al. |
Thromboendarterectomy was performed in 15 cases, with an operative mortality rate of 6.7%, an early occlusion rate of 0% and a cumulative 4 year patency rate of 70.2%. Anatomical bypass grafting was performed in 30 cases, with an operative mortality rate of 10.0%, an early occlusion rate of 6.7% and a cumulative 4 year patency rate of 82.6%. Extra-anatomical bypass grafting was performed in 26 cases, with an operative mortality rate of 7.7%, an early occlusion rate of 15.4% and a cumulative 4 year patency rate of 63.3%. There were no significant differences in these rates among these 3 groups.
Concomitant lumber sympathectomy was performed in 9 cases and additional distal arterial reconstructions (profundaplasty or femoro-popliteal bypass) were performed in 9 cases.
Our experience indicates that endarterectomy appears to be suitable procedure for localized lesions, while more extensive disease is best managed by anatomical bypass grafting but extra-anatomical bypass grafting is reserved for poor-risk patients.
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