Long-term results of endarterectomy, anatomic bypass and extraanatomic bypass for aortoiliac occlusive disease

Hiroshi Urayama, Hiroshi Ohtake, Kenji Yokoi, Hideki Fujimori, Masahiko Kawaguchi, Toshihiro Ishikawa, Yoh Watanabe

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Over the past 20 years, 214 patients in our hospital were operated on for aortoiliac occlusion, including an endarterectomy for 88 legs in 64 patients, an anatomic bypass for 178 legs in 105 patients, and an extraanatomic hypass for 51 legs in 45 patients. The extraanatomic group was older than the other two groups (70 years versus 64 years), and also showed a higher instance of critical ischemic symptoms than the other groups (49% versus 16%). The 10-year primary patency rate was 88% for an endarterectomy, 91% for an anatomic bypass, and 73% for an extraanatomic bypass. The 10-year survival rate was 71% for an endarterectomy, 49% for an anatomic bypass, and 24% for an extraanatomic bypass. The possible complications related to each surgical method included sexual dysfunction resulting from endarterectomy, and graft infection and anastomotic aneurysm in the prosthetic bypass. No ischemic symptoms in the donor limb were noted following an extraanatomic bypass. The selection of the appropriate surgical method for aortoiliac occlusion should thus be made after a careful review of the patient's general condition, the morphology of arterial occlusion, and the risk of possible complications for each type of surgery.

Original languageEnglish (US)
Pages (from-to)151-155
Number of pages5
JournalSurgery today
Volume28
Issue number2
DOIs
StatePublished - 1998

Keywords

  • Aortofemoral bypass
  • Aortoiliac occlusion
  • Endarterectomy
  • Extraanatomic bypass

ASJC Scopus subject areas

  • Surgery

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