Comparison of graft bypass surgery and endovascular interventional techniques in iliofemoral and above knee femoropopliteal arterial occlusion
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Purpose: Peripheral vascular disease is associated with significant morbidity and mortality. In this study, we
made a comparison between surgical bypass grafting and endovascular stenting in iliofemoral and above-knee
femoropopliteal arterial occlusion to find out the advantages and disadvantages of each treatment method.
Matarials and methods: This is a retrospective study, where 60 patients had undergone endovascular and
surgical interventions due to the occlusion of the iliofemoral and above-knee femoropopliteal arteries between
January 2015 and December 2020. Patients were divided into two groups according to their treatment method.
Group 1 contained 33 patients and was operated on with surgical bypass grafting, while group 2 contained
27 with endovascular intervention. Patients’ morbidities, imaging methods, localization of occlusion, type of
grafts and endovascular procedure, vascular patency, length of hospital stay, blood transfusion, revision, and
complications were evaluated and analyzed.
Results: The femoral artery occlusion (72.7%) was in the majority in Group 1, while the iliac artery (66.7%) was
in Group 2. There were three patients in Group 1 and 14 patients in Group 2 who had balloon administration.
Regarding vascular patency, the grafts were occluded in 10 (45.5%) patients in Group 1, while stents were
occluded in 12 patients (54.5%) in Group 2. Blood transfusion was performed in fifteen patients in Group 2 and
six patients in Group 2.
Conclusion: The graft patency rate was higher in Group 1, and the re-revascularization rate of surgical
treatment was lower than endovascular treatment. The highest graft patency rate was seen in the Dacron grafts
then saphenous veins. Group 1 patients received more blood transfusions and extended hospital stayment
periods than Group 2 patients.
Anahtar Kelimeler
Surgical bypass grafting, endovascular stenting, artery occlusion, vascular patency
Destekleyen Kurum
PAÜ KALP VE DAMAR CERRAHİSİ
Proje Numarası
714483
Teşekkür
MOHAMMED ALŞALALDEH
Kaynakça
- REFERNCES 1. Regensteiner JG, Hiatt WR, Coll JR, Criqui MH, Treat-Jacobson D, McDermott MM, et al. The impact of peripheral arterial disease on health-related quality of life in the Peripheral Arterial Disease Awareness, Risk, and Treatment: New Resources for Survival (PARTNERS) Program. Vasc Med. 2008, 13:15–24.
- 2. Faggiotto A, Ross R. Studies of hypercholesterolemia in nonhuman primate: II. Fatty streak conversion to fibrous plaque. Aterosclerosis 4,1984: p 341.
- 3. Boers GHJ, Smals AGH, Trijbels FJM, et al. Heterozygosity for homocystinuria in premature peripheral and cerebral occlusive arterial disease. N Eng J Med. 1985, 313,:p 709-15.
- 4. Piepoli MJEHJ. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al: 2016 European guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). 2016,37:2315-81.
- 5. Rooke T. W, Hirsch A. T, Misra S, Sidawy A. N, Beckman J. A, Ziv J. H, Nor-man R. H. et al. Lower Extremity, Renal, Mesenteric, and Abdominal Aortic. Circu-lation ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease;2006, 113,:p 463-654.
- 6. Aboyans V, Ricco J-B, Bartelink M-L, Björck M, Brodmann M, Cohner T, et al. 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS).; 2017, 75(11):1065-160.
- 7. Chiu KW, Davies RS, Nightingale PG, Bradbury AW, Adam DJ.Review of direct anatomical open surgical management of atherosclerotic aorto-iliac occlusive disease. Eur J Vasc Endovasc Surg;2010, 39:460–471.
- 8. Jongkind V, Akkersdijk GJ, Yeung KK, Wisselink WJJovs.A systematic review of endovascular treatment of extensive aortoiliac occlusive disease; 2010, 52(5):1376-83.
- 9. Ebaugh JL, Gagnon D, Owens CD, Conte MS, Raffetto JDJTAjos. Comparison of costs of staged versus simultaneous lower extremity arterial hybrid procedures.2008, 196(5):634-40.
- 10. Surowiec SM, Davies MG, Eberly SW, Rhodes JM, Illig KA, Shortell CK, et al. Percutaneous angioplasty and stenting of the superficial femoral artery; 2005, 41(2):269-78.
